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General NPI Number Information
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NPI Number | 1902886013
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Entity Type | Organization
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Legal Business Name | HAMLET HMA PHYSICIAN MANAGEMENT, LLC
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 10/28/2009
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Provider Practice Location Address
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Address Line | 222 W MAIN ST
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City | HAMLET
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State | NC
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Zip | 28345-3322
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Country | US
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Telephone | 910-205-0400
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Fax | 910-205-7796
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Provider Business Mailing Address
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Address Line | 5811 PELICAN BAY BLVD SUITE 500
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City | NAPLES
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State | FL
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Zip | 34108-2704
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Country | US
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Telephone | 239-598-3131
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Fax | 239-598-9433
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | MR. STANLEY D MCLEMORE
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Credential |
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Telephone | 239-598-3131
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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 | 21758
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 19375
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 2006-01195
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 9901487
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2006-01711
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 9501173
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 200001476
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 900378
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License Number State | NC
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Taxonomy #9
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 104318
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License Number State | NC
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Taxonomy #10
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 39775
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License Number State | NC
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Taxonomy #11
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 186647
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License Number State | NC
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Taxonomy #12
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 172850
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License Number State | NC
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Taxonomy #13
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 32811
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License Number State | NC
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