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General NPI Number Information
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NPI Number | 1679007439
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Entity Type | Individual
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Provider Name | HOLLY NICOLE HAMIL DO
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Gender | Female
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Dates
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Enumeration Date | 04/18/2017
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 200 NEW YORK AVE STE 150
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City | OAK RIDGE
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State | TN
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Zip | 37830-5227
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Country | US
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Telephone | 865-835-5850
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Fax | 865-374-1115
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Provider Business Mailing Address
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Address Line | 3957 CLEVELAND HWY STE B
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City | DALTON
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State | GA
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Zip | 30721-2052
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Country | US
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Telephone | 706-852-2374
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Fax | 706-852-2375
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 86086
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5960
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License Number State | TN
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