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General NPI Number Information
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NPI Number | 1710903976
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Entity Type | Organization
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Legal Business Name | JEFFREY C HAMM MD LLC
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4300 NORTH UNIVERSITY DRIVE SUITE A-202
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City | LAUDERHILL
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State | FL
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Zip | 33351-6244
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Country | US
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Telephone | 954-749-3040
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Fax | 954-749-3090
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Provider Business Mailing Address
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Address Line | 4340 CASPER COURT
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City | HOLLYWOOD
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State | FL
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Zip | 33021-2414
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Country | US
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Telephone | 954-985-0400
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Fax | 954-985-0405
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Authorized Official
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Title or Position | MGRM
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Name | JEFFREY CARL HAMM
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Credential | MD
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Telephone | 954-749-3040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 4301044072
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 27463020
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME46016
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License Number State | FL
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