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General NPI Number Information
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NPI Number | 1538019468
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Entity Type | Individual
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Provider Name | AUSTIN REEVES HAMILL
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Gender | Male
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 4554 N 126TH ST
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City | BUTLER
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State | WI
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Zip | 53007-2107
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Country | US
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Telephone | 414-307-4834
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Fax |
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Provider Business Mailing Address
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Address Line | 4554 N 126TH STREET BUTLER
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City | BUTLER
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State | WI
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Zip | 53007
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Country | US
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Telephone | 414-307-4834
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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 | 209800000X
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Taxonomy Name | Legal Medicine (M.D./D.O.) Physician
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License Number | 102144
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License Number State | WI
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