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General NPI Number Information
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NPI Number | 1356593297
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Entity Type | Individual
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Provider Name | DUSTIN BRADSHAW HAMMERS PHD
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Gender | Male
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 03/08/2025
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Provider Practice Location Address
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Address Line | 355 W 16TH ST STE 2500
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-2280
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Country | US
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Telephone | 317-963-7204
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Fax | 317-963-7211
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Provider Business Mailing Address
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Address Line | 250 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4959
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Country | US
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Telephone |
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Fax |
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 502
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 6301014253
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 799688-2501
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License Number State | UT
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Taxonomy #5
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 20043478A
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License Number State | IN
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