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General NPI Number Information
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NPI Number | 1154996999
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Entity Type | Organization
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Legal Business Name | HAMMOND FOOT AND ANKLE LLC
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Dates
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Enumeration Date | 05/24/2021
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 365 W. 2230 N. SUITE 103
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City | PROVO
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State | UT
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Zip | 84604
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Country | US
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Telephone | 801-377-2274
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Fax |
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Provider Business Mailing Address
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Address Line | 2560 N 560 E
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City | PROVO
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State | UT
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Zip | 84604-5927
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Country | US
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Telephone | 801-850-1008
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Fax | 801-377-2490
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. JEFFREY ROBERT HAMMOND
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Credential | DPM
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Telephone | 801-850-1008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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