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General NPI Number Information
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NPI Number | 1689365462
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Entity Type | Individual
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Provider Name | ASHLEY HAMILTON
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Gender | Female
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 2070 CENTURY PARK E
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City | LOS ANGELES
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State | CA
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Zip | 90067-1907
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Country | US
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Telephone | 424-522-7132
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Fax |
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Provider Business Mailing Address
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Address Line | 2208 HILLDALE AVE
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City | SIMI VALLEY
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State | CA
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Zip | 93063-2632
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Country | US
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Telephone | 805-428-0743
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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 | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | PT304047
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License Number State | CA
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