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General NPI Number Information
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NPI Number | 1568050888
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Entity Type | Individual
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Provider Name | AMANDA HAMILTON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/03/2021
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Last Update Date | 01/03/2021
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Provider Practice Location Address
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Address Line | 4400 W GREEN OAKS BLVD
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City | ARLINGTON
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State | TX
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Zip | 76016-5608
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Country | US
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Telephone | 817-563-0142
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Fax |
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Provider Business Mailing Address
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Address Line | 6252 TRAIL LAKE DR
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City | FORT WORTH
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State | TX
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Zip | 76133-3406
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Country | US
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Telephone | 910-330-4613
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 61425
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License Number State | TX
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