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General NPI Number Information
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NPI Number | 1720170335
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Entity Type | Organization
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Legal Business Name | RHONDA L HAMM
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 11/17/2011
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Provider Practice Location Address
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Address Line | 333 N JEFFERSON ST
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City | LEWISBURG
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State | WV
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Zip | 24901-1116
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Country | US
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Telephone | 304-645-7503
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Fax | 304-645-7582
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Provider Business Mailing Address
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Address Line | 333 N JEFFERSON ST
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City | LEWISBURG
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State | WV
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Zip | 24901-1116
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Country | US
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Telephone | 303-645-7503
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Fax | 304-645-7582
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Authorized Official
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Title or Position | PSYCHIATRIST/OWNER
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Name | DR. RHONDA L HAMM
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Credential | DO
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Telephone | 304-645-7503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 1649
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License Number State | WV
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