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NPI 1730102401

NPI 1730102401 : MELISSA K HAMM PSYD : WAYNESVILLE, NC

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General NPI Number Information
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    NPI Number           |    1730102401
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    Entity Type          |    Individual 
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    Provider Name        |    MELISSA K HAMM PSYD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/25/2006
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    Last Update Date     |    09/23/2014
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Provider Practice Location Address
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    Address Line         |    91 TIMBERLANE RD 
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    City                 |    WAYNESVILLE
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    State                |    NC
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    Zip                  |    28786-7927
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    Country              |    US
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    Telephone            |    828-454-1098
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    Fax                  |    877-346-1089
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Provider Business Mailing Address
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    Address Line         |    PO BOX 444 
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    City                 |    MURPHY
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    State                |    NC
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    Zip                  |    28906-0444
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    Country              |    US
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    Telephone            |    828-837-0071
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    Fax                  |    828-837-5309
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    3224
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    License Number State |    NC
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