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NPI 1730167826

NPI 1730167826 : MELISSA A HAMILTON DMD : TAUNTON, MA

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General NPI Number Information
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    NPI Number           |    1730167826
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    Entity Type          |    Individual 
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    Provider Name        |    MELISSA A HAMILTON DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/09/2006
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    Last Update Date     |    04/24/2012
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Provider Practice Location Address
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    Address Line         |    MA35 SUMMER ST SUITE 102
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    City                 |    TAUNTON
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    State                |    MA
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    Zip                  |    02780-3469
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    Country              |    US
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    Telephone            |    508-880-8860
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    Fax                  |    508-880-8873
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Provider Business Mailing Address
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    Address Line         |    35 SUMMER ST SUITE 102
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    City                 |    TAUNTON
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    State                |    MA
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    Zip                  |    02780-3469
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    Country              |    US
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    Telephone            |    508-880-8860
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    Fax                  |    508-880-8873
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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        |    1223S0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery (Dentist)
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    License Number       |    21128
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    License Number State |    MA
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