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General NPI Number Information
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NPI Number | 1558492330
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Entity Type | Individual
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Provider Name | LULA BELLE HAMILTON
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 40368 STATE ROUTE 303
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City | LAGRANGE
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State | OH
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Zip | 44050-9703
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Country | US
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Telephone | 440-355-9324
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Fax |
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Provider Business Mailing Address
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Address Line | 41250 BUTTERNUT RIDGE RD
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City | ELYRIA
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State | OH
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Zip | 44035-7431
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Country | US
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Telephone | 440-458-4183
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Fax | 440-458-4183
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number | 4700783
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License Number State | OH
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