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General NPI Number Information
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NPI Number | 1861635245
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Entity Type | Organization
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Legal Business Name | DAVID L HAMEL DDS, PA
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Dates
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Enumeration Date | 04/14/2009
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 1124 PONY EXPRESS HWY
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City | MARYSVILLE
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State | KS
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Zip | 66508-8647
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Country | US
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Telephone | 785-562-5529
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 BROADWAY ST
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City | MARYSVILLE
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State | KS
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Zip | 66508-8647
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Country | US
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Telephone | 785-562-5529
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID L HAMEL
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Credential | DDS
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Telephone | 785-562-5529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5353
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License Number State | KS
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