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General NPI Number Information
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NPI Number | 1831339050
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Entity Type | Individual
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Provider Name | REBECCA ANN HAMMERSCHMIDT B.S.
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Gender | Female
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Dates
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Enumeration Date | 02/27/2009
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Last Update Date | 02/27/2009
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Provider Practice Location Address
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Address Line | 622 SE FRANK PHILLIPS BLVD
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City | BARTLESVILLE
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State | OK
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Zip | 74003-3917
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Country | US
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Telephone | 918-336-4646
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 23
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City | SEDAN
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State | KS
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Zip | 67361-0023
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Country | US
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Telephone | 620-249-8821
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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