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General NPI Number Information
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NPI Number | 1770729303
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Entity Type | Organization
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Legal Business Name | KEVIN C. HAMILTON, O.D., L.L.C.
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Dates
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Enumeration Date | 01/03/2009
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Last Update Date | 10/29/2009
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Provider Practice Location Address
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Address Line | 119 BROWNSVILLE RD
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City | PITTSBURGH
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State | PA
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Zip | 15210-2113
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Country | US
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Telephone | 412-381-7600
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Fax | 412-381-5015
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Provider Business Mailing Address
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Address Line | 119 BROWNSVILLE RD
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City | PITTSBURGH
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State | PA
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Zip | 15210-2113
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Country | US
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Telephone | 412-381-7600
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Fax | 412-381-5015
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. KEVIN CHARLES HAMILTON
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Credential | O.D.
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Telephone | 412-381-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG001111
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License Number State | PA
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