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General NPI Number Information
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NPI Number | 1043746084
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Entity Type | Individual
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Provider Name | JACOB W HAMBY DMD
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Gender | Male
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 620 W 32ND ST STE C
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City | JOPLIN
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State | MO
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Zip | 64804-2528
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Country | US
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Telephone | 417-623-8232
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Fax | 417-623-4426
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Provider Business Mailing Address
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Address Line | 620 W 32ND ST STE C
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City | JOPLIN
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State | MO
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Zip | 64804-2528
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Country | US
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Telephone | 417-623-8232
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Fax | 417-624-4426
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2020005760
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1001606-15
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License Number State | WI
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