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General NPI Number Information
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NPI Number | 1750726485
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Entity Type | Individual
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Provider Name | DONALD L HAMBY D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/08/2013
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Last Update Date | 05/23/2019
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Provider Practice Location Address
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Address Line | 69780 STELLAR DR STE A
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-2954
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Country | US
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Telephone | 760-424-3380
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Fax | 760-424-3375
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Provider Business Mailing Address
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Address Line | 25745 BARTON RD # 301
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City | LOMA LINDA
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State | CA
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Zip | 92354-3812
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Country | US
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Telephone | 901-493-5990
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 20A14027
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License Number State | CA
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