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General NPI Number Information
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NPI Number | 1780856922
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Entity Type | Organization
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Legal Business Name | PHILLIP R HAMMOND
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 232 JACKSON MEADOWS DR
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City | HERMITAGE
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State | TN
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Zip | 37076-1425
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Country | US
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Telephone | 615-889-2274
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Fax | 615-889-2257
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Provider Business Mailing Address
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Address Line | 232 JACKSON MEADOWS DR
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City | HERMITAGE
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State | TN
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Zip | 37076-1425
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Country | US
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Telephone | 615-889-2274
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Fax | 615-889-2257
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Authorized Official
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Title or Position | OWNER
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Name | DR. PHILLIP R HAMMOND
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Credential | O.D.
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Telephone | 615-889-2274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | ODT918
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License Number State | TN
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