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General NPI Number Information
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NPI Number | 1679704738
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Entity Type | Organization
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Legal Business Name | MICHAEL R HAMRICK DDS PA
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 08/06/2009
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Provider Practice Location Address
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Address Line | 264 HWY 19 S SUITE 1
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City | BRYSON CITY
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State | NC
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Zip | 28713-1759
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Country | US
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Telephone | 828-488-2582
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Fax | 828-488-9294
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Provider Business Mailing Address
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Address Line | PO BOX 1759
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City | BRYSON CITY
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State | NC
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Zip | 28713-1759
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Country | US
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Telephone | 828-488-2582
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Fax | 828-488-9294
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL R HAMRICK
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Credential | DDS
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Telephone | 828-488-2582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 4487
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License Number State | NC
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