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General NPI Number Information
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NPI Number | 1568590594
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Entity Type | Organization
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Legal Business Name | HAMMOND UROLOGY, PA
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 12/07/2009
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Provider Practice Location Address
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Address Line | 2755 S HIGHWAY 14 SUITE 2050
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City | GREER
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State | SC
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Zip | 29650-4902
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Country | US
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Telephone | 864-585-2589
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Fax | 864-583-6817
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Provider Business Mailing Address
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Address Line | 2755 S HIGHWAY 14 SUITE 2050
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City | GREER
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State | SC
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Zip | 29650-4902
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Country | US
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Telephone | 864-585-2589
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Fax | 864-583-6817
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Authorized Official
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Title or Position | PHYSICIAN
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Name | GAINES WARDLAW HAMMOND JR.
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Credential | MD
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Telephone | 864-585-2589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 9896
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License Number State | SC
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