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Individual
DALE JAMES HAMILTON
Active
Individual
DALE JAMES HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
F6705
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115930304
—
TX
05
—
115930305
—
TX
05
—
115930306
—
TX
01
—
1982669875
BLUE CROSS BLUE SHIELD
TX
01
—
P01030985
RR MEDICARE
TX
Enumeration date
04/20/2006
Last updated
06/05/2019
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