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NPI 1861491946

NPI 1861491946 : STEVEN HAMMER OD : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1861491946
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN HAMMER OD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/20/2005
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    Last Update Date     |    09/03/2015
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Provider Practice Location Address
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    Address Line         |    1311 AVENUE Z 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11235-3917
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    Country              |    US
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    Telephone            |    631-428-2417
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    Fax                  |    718-769-2510
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Provider Business Mailing Address
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    Address Line         |    1311 AVENUE Z 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11235-3917
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    Country              |    US
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    Telephone            |    631-428-2417
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    VUT004901-1
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    508
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    License Number State |    NV
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