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General NPI Number Information
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NPI Number | 1750591095
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Entity Type | Individual
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Provider Name | JACOBUS JOHANNES HAMMAN M.DIV, TH.M, PH.D
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 222 S RIVER AVE
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City | HOLLAND
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State | MI
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Zip | 49423-3144
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Country | US
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Telephone | 616-405-5019
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Fax |
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Provider Business Mailing Address
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Address Line | 274 MAPLE AVE
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City | HOLLAND
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State | MI
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Zip | 49423-3241
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Country | US
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Telephone | 616-546-2599
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Fax | 616-546-2827
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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