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General NPI Number Information
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NPI Number | 1770499816
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Entity Type | Individual
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Provider Name | CRYSTAL HAMM LPN
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Gender | Female
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 1183 PARTRIDGE DR
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City | WADSWORTH
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State | OH
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Zip | 44281-8807
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Country | US
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Telephone | 419-566-9214
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Fax |
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Provider Business Mailing Address
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Address Line | 1183 PARTRIDGE DR
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City | WADSWORTH
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State | OH
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Zip | 44281-8807
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Country | US
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Telephone |
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LPN.130220.MED-IV
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License Number State | OH
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