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General NPI Number Information
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NPI Number | 1851561633
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Entity Type | Organization
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Legal Business Name | STEVEN D. HAMMOND DDS PA
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 03/07/2008
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Provider Practice Location Address
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Address Line | 455 WASHINGTON ST
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City | MONTPELIER
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State | ID
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Zip | 83254-1600
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Country | US
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Telephone | 208-847-1235
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Fax | 208-847-1251
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Provider Business Mailing Address
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Address Line | 455 WASHINGTON ST
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City | MONTPELIER
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State | ID
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Zip | 83254-1600
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Country | US
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Telephone | 208-847-1235
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Fax | 208-847-1251
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN D. HAMMOND
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Credential | DDS
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Telephone | 208-847-1235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D-3329
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License Number State | ID
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