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General NPI Number Information
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NPI Number | 1598917460
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Entity Type | Organization
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Legal Business Name | DONALD E HAMILTON M D P A
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 01/02/2009
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Provider Practice Location Address
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Address Line | 928B MAR WALT DR
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-6706
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Country | US
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Telephone | 850-863-5455
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Fax | 850-862-3135
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Provider Business Mailing Address
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Address Line | 928B MAR WALT DR
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-6706
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Country | US
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Telephone | 850-863-5455
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Fax | 850-862-3135
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | DRUE HAMILTON
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Credential |
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Telephone | 850-863-5455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME51415
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License Number State | FL
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