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General NPI Number Information
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NPI Number | 1861058422
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Entity Type | Individual
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Provider Name | MRS. JERENA HAMMAD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2019
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Last Update Date | 05/18/2019
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Provider Practice Location Address
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Address Line | 93 GLENWOOD
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City | HERCULES
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State | CA
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Zip | 94547-3507
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Country | US
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Telephone | 216-624-3768
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Fax |
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Provider Business Mailing Address
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Address Line | 93 GLENWOOD
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City | HERCULES
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State | CA
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Zip | 94547-3507
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Country | US
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Telephone | 216-624-3768
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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 | 163WC2100X
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Taxonomy Name | Continence Care Registered Nurse
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License Number | 95161676
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 95161676
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number | 95161676
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 95161676
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 95161676
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95161676
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License Number State | CA
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