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General NPI Number Information
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NPI Number | 1528374113
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Entity Type | Organization
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Legal Business Name | DENISE M. HAMAR, DO
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Dates
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Enumeration Date | 08/20/2010
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Last Update Date | 08/20/2010
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Provider Practice Location Address
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Address Line | 1221 OAK ST
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City | CARTHAGE
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State | MO
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Zip | 64836-2028
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Country | US
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Telephone | 417-359-9291
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Fax | 417-359-9241
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Provider Business Mailing Address
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Address Line | 1221 OAK ST
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City | CARTHAGE
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State | MO
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Zip | 64836-2028
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Country | US
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Telephone | 417-359-9291
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Fax | 417-359-9241
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Authorized Official
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Title or Position | PEDIATRICIAN
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Name | DR. DENISE MARIE HAMAR
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Credential | DO
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Telephone | 417-359-9291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | R7F62
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License Number State | MO
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