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General NPI Number Information
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NPI Number | 1093862658
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Entity Type | Individual
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Provider Name | MARK E HAMMER PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 324 RODI RD
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City | PITTSBURGH
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State | PA
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Zip | 15235-3318
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Country | US
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Telephone | 412-731-7500
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Fax | 412-731-4794
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Provider Business Mailing Address
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Address Line | 148 COLONIAL VILLAGE DR
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City | PITTSBURGH
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State | PA
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Zip | 15235-2245
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Country | US
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Telephone | 412-798-9086
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Fax | 412-798-3379
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA002228-L
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License Number State | PA
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