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General NPI Number Information
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NPI Number | 1871627539
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Entity Type | Individual
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Provider Name | ZWAANTJE H. HAMMING CNP
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 1714 SAINT MICHAELS DR # 1
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City | SANTA FE
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State | NM
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Zip | 87505-7617
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Country | US
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Telephone | 505-490-4042
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Fax | 877-846-3680
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Provider Business Mailing Address
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Address Line | 200 OCEANGATE SUITE 100
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City | LONG BEACH
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State | CA
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Zip | 90802-4317
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Country | US
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Telephone | 562-499-6191
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Fax | 562-499-6171
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | R48799
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP 02194
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | CNP-02194
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License Number State | NM
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