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General NPI Number Information
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NPI Number | 1376211672
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Entity Type | Individual
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Provider Name | ZACHERY HAMMOND
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Gender | Male
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 100 PINEWILD DR
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City | ROCHESTER
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State | NY
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Zip | 14606-4200
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Country | US
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Telephone | 585-368-6718
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Fax |
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Provider Business Mailing Address
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Address Line | 100 KINGS HWY S
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City | ROCHESTER
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State | NY
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Zip | 14617-5504
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P108438
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 013397
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License Number State | NY
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