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General NPI Number Information
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NPI Number | 1568517902
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Entity Type | Individual
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Provider Name | DEBORAH F HAMMOND-WICKFALL M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 315 BOULEVARD NE SUITE 520
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City | ATLANTA
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State | GA
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Zip | 30312-1200
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Country | US
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Telephone | 404-265-6322
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Fax | 404-265-6321
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Provider Business Mailing Address
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Address Line | PO BOX 54454
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City | ATLANTA
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State | GA
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Zip | 30308-0454
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Country | US
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Telephone | 404-265-6322
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Fax | 404-265-6321
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 21991
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License Number State | GA
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