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General NPI Number Information
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NPI Number | 1750433470
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Entity Type | Organization
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Legal Business Name | HAMILTON-MIRAGLIA ASSOCIATES
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 105 SIBLEY AVE.
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City | ARDMORE
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State | PA
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Zip | 19003
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Country | US
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Telephone | 610-896-8610
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Fax |
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Provider Business Mailing Address
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Address Line | 105 SIBLEY AVE.
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City | ARDMORE
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State | PA
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Zip | 19003
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WESTON HAMILTON
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Credential | M.D.
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Telephone | 610-896-8610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | MD013259-E
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License Number State | PA
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