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General NPI Number Information
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NPI Number | 1821247164
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Entity Type | Organization
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Legal Business Name | HAMILTON MEDICAL CENTER INC
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 1200 MEMORIAL DR
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City | DALTON
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State | GA
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Zip | 30720-2529
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Country | US
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Telephone | 706-272-6450
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Fax | 706-272-6451
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Provider Business Mailing Address
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Address Line | PO BOX 1168
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City | DALTON
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State | GA
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Zip | 30722-1168
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Country | US
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Telephone | 706-272-6450
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Fax | 706-272-6451
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR OF PHARMACY
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Name | NATHAN WOOTEN
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Credential | RPH
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Telephone | 706-272-6020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE004020
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License Number State | GA
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