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General NPI Number Information
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NPI Number | 1629590203
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Entity Type | Organization
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Legal Business Name | HAMMER MENTAL HEALTH, INC.
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Dates
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Enumeration Date | 07/14/2017
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Last Update Date | 07/14/2017
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Provider Practice Location Address
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Address Line | 148 W WASHINGTON ST STE A
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City | WEST CHICAGO
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State | IL
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Zip | 60185-2803
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Country | US
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Telephone | 630-415-6215
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Fax |
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Provider Business Mailing Address
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Address Line | 641 NOR OAKS CT
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City | WEST CHICAGO
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State | IL
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Zip | 60185-2000
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Country | US
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Telephone | 630-415-6215
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | JANELLE HAMMER
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Credential | PSY.D.
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Telephone | 630-415-6215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071.008559
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License Number State | IL
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