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General NPI Number Information
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NPI Number | 1154302339
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Entity Type | Individual
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Provider Name | STEVEN D. HAM D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 3901 BEAUBIEN ST FL 2
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City | DETROIT
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State | MI
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Zip | 48201-2119
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Country | US
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Telephone | 313-833-4490
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Fax | 313-993-8744
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Provider Business Mailing Address
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Address Line | 3901 BEAUBIEN ST FL 2
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City | DETROIT
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State | MI
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Zip | 48201-2119
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Country | US
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Telephone | 313-833-4490
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Fax | 313-993-8744
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 5101007824
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License Number State | MI
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