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General NPI Number Information
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NPI Number | 1114449659
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Entity Type | Individual
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Provider Name | RACHEL HAMMOUDEH O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2017
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 2435 COMMERCE AVE BLDG 2200
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City | DULUTH
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State | GA
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Zip | 30096-4980
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Country | US
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Telephone | 678-892-3778
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Fax |
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Provider Business Mailing Address
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Address Line | 2435 COMMERCE AVE BLDG 2200
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City | DULUTH
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State | GA
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Zip | 30096-4980
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Country | US
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Telephone | 678-892-3778
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 030.0133938
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 10144
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 007211
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0003364
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 002250
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License Number State | AZ
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