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General NPI Number Information
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NPI Number | 1710903661
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Entity Type | Individual
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Provider Name | ALBERT M HAMMERMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 6520 CLAYTON RD
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City | RICHMOND HEIGHTS
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State | MO
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Zip | 63117-1706
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Country | US
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Telephone | 314-333-5777
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Fax | 314-333-5888
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Provider Business Mailing Address
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Address Line | PO BOX 411515
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City | SAINT LOUIS
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State | MO
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Zip | 63141-3515
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Country | US
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Telephone | 314-333-6750
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Fax | 314-432-0178
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | R7988
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036087012
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License Number State | IL
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