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General NPI Number Information
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NPI Number | 1821226598
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Entity Type | Individual
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Provider Name | JOSEPH JOHN HAMILTON PA-C
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Gender | Male
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 2960 E SUNSET RD STE 125
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City | LAS VEGAS
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State | NV
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Zip | 89120-2753
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Country | US
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Telephone | 702-647-1126
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Fax |
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Provider Business Mailing Address
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Address Line | 11303 SUMMIT POINT CT
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City | BAKERSFIELD
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State | CA
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Zip | 93312-6466
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Country | US
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Telephone | 661-302-5053
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Fax | 661-588-0451
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1854
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA16355
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License Number State | CA
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