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General NPI Number Information
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NPI Number | 1720233695
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Entity Type | Organization
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Legal Business Name | AMY- MARGARET HAMILTON
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Dates
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Enumeration Date | 11/19/2008
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Last Update Date | 11/19/2008
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Provider Practice Location Address
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Address Line | 415 2ND AVE
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City | WAYLAND
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State | NY
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Zip | 14572-1023
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Country | US
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Telephone | 585-213-4088
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Fax |
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Provider Business Mailing Address
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Address Line | 415 2ND AVE
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City | WAYLAND
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State | NY
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Zip | 14572-1023
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Country | US
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Telephone | 585-213-4088
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Fax |
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Authorized Official
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Title or Position | LPN
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Name | MRS. AMY MARGARET HAMILTON
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Credential | LPN
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Telephone | 585-213-4088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 244519
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License Number State | NY
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