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General NPI Number Information
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NPI Number | 1316208317
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Entity Type | Organization
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Legal Business Name | MICHAEL W. HAMMER,O.D. INC.
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 06/06/2012
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Provider Practice Location Address
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Address Line | 126 E MAIN ST
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City | MASON
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State | OH
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Zip | 45040-1918
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Country | US
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Telephone | 513-677-2840
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Fax | 513-677-2840
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Provider Business Mailing Address
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Address Line | 2480 SOCIALVILLE FOSTER RD
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City | MAINEVILLE
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State | OH
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Zip | 45039-9305
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Country | US
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Telephone | 513-677-3880
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Fax | 513-677-3880
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL WAYNE HAMMER
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Credential | O.D.
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Telephone | 513-677-2840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3773T58
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License Number State | OH
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