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General NPI Number Information
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NPI Number | 1568126902
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Entity Type | Organization
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Legal Business Name | CHRISTINE HAMMER DDS MS PA
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Dates
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Enumeration Date | 10/22/2021
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Last Update Date | 10/22/2021
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Provider Practice Location Address
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Address Line | 17 WEST CENTRAL ENTRANCE
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City | DULUTH
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State | MN
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Zip | 55811
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Country | US
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Telephone | 218-349-9546
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Fax |
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Provider Business Mailing Address
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Address Line | 9 EASTRIDGE BLVD
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City | DULUTH
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State | MN
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Zip | 55804-3124
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Country | US
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Telephone | 218-349-9546
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTINE COLTON HAMMER
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Credential | DDS, MS
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Telephone | 218-349-9546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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