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General NPI Number Information
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NPI Number | 1730169004
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Entity Type | Organization
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Legal Business Name | DANNY STEVENS HAMMONS
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 165 RIDGECREST CIR B
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City | CLAYTON
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State | GA
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Zip | 30525-4110
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Country | US
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Telephone | 706-782-6199
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Fax | 706-782-6996
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Provider Business Mailing Address
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Address Line | PO BOX 746
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City | CLAYTON
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State | GA
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Zip | 30525-0019
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Country | US
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Telephone | 706-782-6199
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Fax | 706-782-6996
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Authorized Official
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Title or Position | OWNER
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Name | MR. DANNY STEVENS HAMMONS
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Credential | RRT
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Telephone | 706-782-6199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 002429
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License Number State | GA
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