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General NPI Number Information
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NPI Number | 1124579826
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Entity Type | Individual
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Provider Name | BRYAN HAMMER DC
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Gender | Male
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Dates
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Enumeration Date | 10/18/2016
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Last Update Date | 04/04/2019
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Provider Practice Location Address
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Address Line | 424 CROSSTOWN DR
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-2915
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Country | US
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Telephone | 770-668-3115
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Fax | 770-336-6393
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Provider Business Mailing Address
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Address Line | 328 BARTLETT DR
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City | SHARPSBURG
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State | GA
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Zip | 30277-2026
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Country | US
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Telephone | 770-668-3115
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Fax | 770-336-6393
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIRO09652
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR009652
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License Number State | GA
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