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General NPI Number Information
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NPI Number | 1275789257
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Entity Type | Individual
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Provider Name | KATHRINE HAMMEL DMD
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Gender | Female
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Dates
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Enumeration Date | 08/11/2008
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Last Update Date | 12/18/2015
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Provider Practice Location Address
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Address Line | 5717 E 5TH ST
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City | TUCSON
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State | AZ
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Zip | 85711-2401
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Country | US
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Telephone | 520-647-2888
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Fax | 520-647-2889
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Provider Business Mailing Address
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Address Line | 5717 E 5TH ST
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City | TUCSON
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State | AZ
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Zip | 85711-2401
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Country | US
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Telephone | 520-647-2888
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Fax | 520-647-2889
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D07590
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License Number State | AZ
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