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General NPI Number Information
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NPI Number | 1366346447
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Entity Type | Individual
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Provider Name | ASHTON TARIK HAMMOND PTA
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Gender | Male
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 10141 224TH ST E
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City | GRAHAM
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State | WA
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Zip | 98338-9190
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Country | US
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Telephone | 253-446-6982
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Fax | 253-904-8184
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Provider Business Mailing Address
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Address Line | PO BOX 281
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City | ALMA
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State | NE
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Zip | 68920-0281
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Country | US
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Telephone | 402-419-4823
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2111
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License Number State | NE
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