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General NPI Number Information
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NPI Number | 1992980437
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Entity Type | Organization
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Legal Business Name | ELAINE HAMILTON, MD, PA
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 5656 BEE CAVE RD SUITE C-104
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-5280
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Country | US
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Telephone | 512-327-1177
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Fax | 512-327-4484
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Provider Business Mailing Address
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Address Line | 5656 BEE CAVE RD SUITE C-104
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-5280
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Country | US
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Telephone | 512-327-1177
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Fax | 512-327-4484
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELAINE LEIGH HAMILTON
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Credential | M.D.
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Telephone | 512-327-1177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | H3319
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License Number State | TX
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