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General NPI Number Information
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NPI Number | 1588105142
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Entity Type | Organization
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Legal Business Name | HAMZAH TELEMED, LLC
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Dates
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Enumeration Date | 03/16/2017
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Last Update Date | 03/16/2017
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Provider Practice Location Address
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Address Line | 35 BARNARD ST STE 300
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City | SAVANNAH
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State | GA
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Zip | 31401-2515
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Country | US
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Telephone | 714-587-1458
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Fax |
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Provider Business Mailing Address
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Address Line | 35 BARNARD ST STE 300
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City | SAVANNAH
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State | GA
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Zip | 31401-2515
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Country | US
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Telephone | 714-587-1458
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | STEVEN RICHARDSON
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Credential |
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Telephone | 714-587-1458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 68748
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License Number State | GA
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