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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI # | 1275933129 |
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| LBN Legal business name | HAMBURG INTEGRATED MEDICINE PSC | ||||
| Authorized official | DANIEL VANHOOSE - (ADMINISTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/28/2014 | ||||
| Last updated | 09/16/2015 - About 11 years ago | ||||
| Identifiers |
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HAMBURG INTEGRATED MEDICINE PSC
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HAMBURG INTEGRATED MEDICINE PSC