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General NPI Number Information
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NPI Number | 1861451544
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Entity Type | Organization
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Legal Business Name | ISABELLA HAMMONDS ESTATE
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 3510 N MAIN ST
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City | DAYTON
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State | OH
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Zip | 45405-2401
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Country | US
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Telephone | 937-278-9966
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Fax | 937-277-0286
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Provider Business Mailing Address
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Address Line | 3510 N MAIN ST
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City | DAYTON
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State | OH
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Zip | 45405-2401
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Country | US
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Telephone | 937-278-9966
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Fax | 937-277-0286
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Authorized Official
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Title or Position | OPERATOR
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Name | MRS. JONI ELAINE HAENGGI
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Credential |
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Telephone | 937-278-9966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | N/A IN OHIO
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License Number State | OH
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