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General NPI Number Information
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NPI Number | 1831607134
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Entity Type | Individual
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Provider Name | BRIAN HAMAND PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 01/21/2018
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Last Update Date | 05/30/2021
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Provider Practice Location Address
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Address Line | 1441 CORAL RIDGE AVE
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City | CORALVILLE
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State | IA
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Zip | 52241-2801
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Country | US
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Telephone | 319-248-1080
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Fax |
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Provider Business Mailing Address
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Address Line | 212 GRANDVILLE AVE SW
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-4067
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 5302043797
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 23781
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License Number State | IA
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