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General NPI Number Information
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NPI Number | 1235305764
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Entity Type | Individual
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Provider Name | DEIRDRE COGAN HAMAKER AU.D.
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Gender | Female
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | 6215 ABBOTT STATION DR STE 105
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-4824
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Country | US
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Telephone | 813-782-5395
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Fax | 813-782-5331
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Provider Business Mailing Address
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Address Line | 6615 GUNN HWY
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City | TAMPA
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State | FL
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Zip | 33625-4056
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Country | US
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Telephone | 813-265-2255
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Fax | 813-265-3355
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY1411
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License Number State | FL
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