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General NPI Number Information
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NPI Number | 1003902263
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Entity Type | Individual
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Provider Name | VALERIE JEAN HAMMOND RD
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 9768 LIBERTY DRIVE
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City | PAINTED POST
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State | NY
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Zip | 14870
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Country | US
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Telephone | 607-937-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 9900 GULF ROAD
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City | PAINTED POST
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State | NY
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Zip | 14870
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Country | US
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Telephone | 607-962-6003
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 968718
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License Number State |
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