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General NPI Number Information
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NPI Number | 1750319950
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Entity Type | Individual
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Provider Name | GREGG KUNKLE HAMMOND PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3200 VINE ST
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City | CINCINNATI
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State | OH
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Zip | 45220-2213
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Country | US
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Telephone | 513-861-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 662 WEST, 650 SOUTH
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City | PERU
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State | IN
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Zip | 46970
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Country | US
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Telephone | 765-689-7219
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Fax |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 31000809A
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License Number State | IN
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