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General NPI Number Information
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NPI Number | 1407841539
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Entity Type | Individual
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Provider Name | HOWARD MARC HAMMER D.O.
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Gender | Male
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 125 CRESTVIEW PARK DR STE 2
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City | DICKSON
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State | TN
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Zip | 37055-2853
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Country | US
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Telephone | 615-446-1370
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Fax | 615-560-5998
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Provider Business Mailing Address
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Address Line | 127 CRESTVIEW PARK DR STE 209
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City | DICKSON
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State | TN
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Zip | 37055-2856
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Country | US
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Telephone | 615-446-5121
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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 | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | OS009577L
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License Number State | PA
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