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General NPI Number Information
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NPI Number | 1831206754
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Entity Type | Individual
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Provider Name | GLENN D HAMILTON MD
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 01/26/2009
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Provider Practice Location Address
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Address Line | 777 DELAWARE PARK BLVD
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City | WILMINGTON
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State | DE
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Zip | 19804-4122
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Country | US
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Telephone | 302-994-3166
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Fax | 775-923-9397
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Provider Business Mailing Address
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Address Line | 7 QUIGLEY LN
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City | GARNET VALLEY
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State | PA
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Zip | 19061-1234
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Country | US
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Telephone | 610-358-9965
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Fax | 775-923-9397
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD042891E
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License Number State | PA
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