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General NPI Number Information
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NPI Number | 1013031632
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Entity Type | Organization
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Legal Business Name | MICHAEL W HAMMOND, M.D.
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3501 W BROADWAY ST
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City | MUSKOGEE
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State | OK
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Zip | 74401-2138
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Country | US
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Telephone | 918-682-8612
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Fax | 918-682-0620
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Provider Business Mailing Address
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Address Line | 3501 W BROADWAY ST
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City | MUSKOGEE
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State | OK
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Zip | 74401-2138
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Country | US
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Telephone | 918-682-8612
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Fax | 918-682-0620
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MICHAEL W HAMMOND
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Credential | M.D.
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Telephone | 918-682-8612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 15215
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License Number State | OK
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