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NPI 1831241652

NPI 1831241652 : KATHERINE RENEE HAMLET M.D. : AIKEN, SC

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General NPI Number Information
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    NPI Number           |    1831241652
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    Entity Type          |    Individual 
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    Provider Name        |    KATHERINE RENEE HAMLET M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/18/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    521 SILVER BLUFF RD 
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    City                 |    AIKEN
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    State                |    SC
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    Zip                  |    29803-6011
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    Country              |    US
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    Telephone            |    803-644-0100
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    Fax                  |    803-644-0110
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Provider Business Mailing Address
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    Address Line         |    521 SILVER BLUFF RD 
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    City                 |    AIKEN
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    State                |    SC
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    Zip                  |    29803-6011
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    Country              |    US
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    Telephone            |    803-644-0100
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    Fax                  |    803-644-0110
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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        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    19769
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    License Number State |    SC
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