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NPI 1700447679

NPI 1700447679 : SETH HAMMONS DO : FORT LIBERTY, NC

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General NPI Number Information
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    NPI Number           |    1700447679
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    Entity Type          |    Individual 
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    Provider Name        |    SETH HAMMONS DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/21/2019
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    Last Update Date     |    02/14/2025
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Provider Practice Location Address
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    Address Line         |    2817 ROCK MERRITT AVE 
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    City                 |    FORT LIBERTY
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    State                |    NC
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    Zip                  |    28310-0001
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    Country              |    US
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    Telephone            |    910-907-6000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2817 ROCK MERRITT AVE 
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    City                 |    FORT LIBERTY
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    State                |    NC
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    Zip                  |    28310-0001
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    Country              |    US
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    Telephone            |    910-907-8922
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    Fax                  |    910-907-6069
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    OT019528
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    2024-02288
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    License Number State |    NC
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Taxonomy #3
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    263329
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    License Number State |    NC
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