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General NPI Number Information
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NPI Number | 1982916128
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Entity Type | Organization
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Legal Business Name | HAMILTON FOOT SOLUTIONS, LLC
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Dates
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Enumeration Date | 07/03/2010
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Last Update Date | 10/12/2010
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Provider Practice Location Address
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Address Line | 549 ROUTE 130 SUITE 426
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City | TRENTON
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State | NJ
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Zip | 08691-2200
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Country | US
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Telephone | 609-581-3668
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Fax | 609-581-3674
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Provider Business Mailing Address
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Address Line | 549 ROUTE 130 SUITE 426
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City | TRENTON
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State | NJ
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Zip | 08691-2200
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Country | US
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Telephone | 609-581-3668
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Fax | 609-581-3674
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LAURA J ROBERTS
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Credential | C. PED
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Telephone | 609-581-3668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | CPED3173
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License Number State | FL
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