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General NPI Number Information
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NPI Number | 1609204916
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Entity Type | Individual
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Provider Name | KRISTA HAMMER M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 10/23/2013
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 240 REDTAIL RD SUITE 12A
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1412
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Country | US
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Telephone | 716-608-2988
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Fax | 716-608-2988
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Provider Business Mailing Address
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Address Line | 240 REDTAIL RD SUITE 12A
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City | ORCHARD PARK
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State | NY
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Zip | 14127-0094
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Country | US
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Telephone | 716-608-2988
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Fax | 716-608-2942
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 024455-1
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License Number State | NY
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