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General NPI Number Information
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NPI Number | 1295982775
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Entity Type | Organization
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Legal Business Name | STEPHEN L HAMMERMAN M.D.LLC
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 08/26/2008
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Provider Practice Location Address
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Address Line | 601 S MAIN ST SUITE A
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072-1758
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Country | US
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Telephone | 615-859-2973
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Fax | 615-851-6797
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Provider Business Mailing Address
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Address Line | 601 S MAIN ST SUITE A
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072-1758
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Country | US
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Telephone | 615-859-2973
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Fax | 615-851-6797
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Authorized Official
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Title or Position | MD / OWNER
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Name | DR. STEPHAN L HAMMERMAN
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Credential | M.D.
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Telephone | 615-859-2973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | MD021578
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License Number State | TN
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