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General NPI Number Information
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NPI Number | 1598934770
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Entity Type | Organization
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Legal Business Name | JEFFREY T. HAMM, M.D.
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 399 W CAMPBELL RD SUITE 404
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City | RICHARDSON
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State | TX
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Zip | 75080-3595
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Country | US
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Telephone | 972-671-4266
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Fax | 972-671-6784
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Provider Business Mailing Address
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Address Line | 399 W CAMPBELL RD SUITE 404
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City | RICHARDSON
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State | TX
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Zip | 75080-3595
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Country | US
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Telephone | 972-671-4266
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Fax | 972-671-6784
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TAMERA P. HAMM
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Credential |
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Telephone | 972-671-4266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | H8675
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License Number State | TX
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