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General NPI Number Information
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NPI Number | 1841332798
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Entity Type | Organization
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Legal Business Name | HAMILTON YORK HALEY
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 03/22/2013
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Provider Practice Location Address
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Address Line | 632 MAIN ST
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City | FRIENDSHIP
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State | TN
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Zip | 38034-1966
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Country | US
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Telephone | 731-677-2155
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Fax | 731-677-2252
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Provider Business Mailing Address
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Address Line | 632 MAIN ST P.O. BOX 66
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City | FRIENDSHIP
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State | TN
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Zip | 38034-1966
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Country | US
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Telephone | 731-677-2155
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Fax | 731-677-2252
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Authorized Official
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Title or Position | PHARMACIST OWNER
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Name | DR. HAMILTON YORK HALEY
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Credential | D. PH.
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Telephone | 731-677-2155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 3078
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License Number State | TN
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