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General NPI Number Information
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NPI Number | 1578886032
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Entity Type | Individual
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Provider Name | STACEY DENEISE HAMMONS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 500 NORTH HIGHWAY 27
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City | WHITLEY CITY
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State | KY
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Zip | 42653
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Country | US
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Telephone | 606-376-3307
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Fax | 606-376-9269
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Provider Business Mailing Address
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Address Line | 500 NORTH HWY 27
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City | WHITLEY CITY
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State | KY
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Zip | 42653
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Country | US
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Telephone | 606-376-3307
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Fax | 606-376-9269
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 011815
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License Number State | KY
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