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General NPI Number Information
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NPI Number | 1497761647
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Entity Type | Individual
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Provider Name | LISA KAY AREL HAMMER MD
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Gender | Female
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 5333 MCAULEY DR RM 2106
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City | YPSILANTI
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State | MI
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Zip | 48197-1096
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Country | US
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Telephone | 734-213-3680
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Fax | 734-213-3681
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Provider Business Mailing Address
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Address Line | 24 FRANK LLOYD WRIGHT DR LOBBY J
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City | ANN ARBOR
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State | MI
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Zip | 48105-9484
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301075415
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License Number State | MI
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