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General NPI Number Information
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NPI Number | 1124101787
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Entity Type | Organization
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Legal Business Name | HAMMER AND BRECHON DDS PC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1302 N ELM ST
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City | OTTUMWA
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State | IA
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Zip | 52501
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Country | US
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Telephone | 641-684-8636
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Fax | 641-684-0686
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Provider Business Mailing Address
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Address Line | 1302 N ELM ST OTTUMWA IA 52501
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City | OTTUMWA
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State | IA
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Zip | 52501
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Country | US
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Telephone | 641-684-8636
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Fax | 641-684-0686
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Authorized Official
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Title or Position | DENTIST
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Name | DR. CHARLES P HAMMER
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Credential | DDS
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Telephone | 641-684-8636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4841
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7691
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7799
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License Number State | IA
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