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General NPI Number Information
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NPI Number | 1518822907
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Entity Type | Individual
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Provider Name | GINA DE ETTE HAMILTON LMT
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Gender | Female
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 329 10TH AVE SE STE 115
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City | CEDAR RAPIDS
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State | IA
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Zip | 52401-2331
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Country | US
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Telephone | 319-775-0117
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Fax |
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Provider Business Mailing Address
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Address Line | 5192 SUTTON RD
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City | CENTRAL CITY
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State | IA
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Zip | 52214-9711
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Country | US
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Telephone | 319-551-8392
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 04089
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License Number State | IA
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