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General NPI Number Information
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NPI Number | 1992064372
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Entity Type | Individual
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Provider Name | PHILIP M HAMBY MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2012
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 1000 STATE ST
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City | MCCALL
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State | ID
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Zip | 83638-3704
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Country | US
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Telephone | 208-634-2221
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Fax | 208-634-7112
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Provider Business Mailing Address
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Address Line | 124 MERRY TRL
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1329
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Country | US
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Telephone | 210-596-8687
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | Q2903
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2571069
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License Number State | ID
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