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General NPI Number Information
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NPI Number | 1245238666
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Entity Type | Individual
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Provider Name | GARY JAMES HAMMOND DDS
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Gender | Male
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Dates
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Enumeration Date | 07/10/2005
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Last Update Date | 05/31/2018
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Provider Practice Location Address
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Address Line | 367 ROUTE 120 UNIT E1
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City | LEBANON
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State | NH
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Zip | 03766
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Country | US
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Telephone | 603-643-1700
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Fax | 603-643-1702
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Provider Business Mailing Address
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Address Line | 367 ROUTE 120 UNIT E1
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City | LEBANON
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State | NH
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Zip | 03766-1430
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Country | US
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Telephone | 603-643-1700
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Fax | 603-643-1702
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | D3869
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 03746
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License Number State | NH
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