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General NPI Number Information
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NPI Number | 1902264062
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Entity Type | Individual
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Provider Name | ALLISON D HAMM APRN
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Gender | Female
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Dates
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Enumeration Date | 02/04/2016
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Last Update Date | 03/20/2018
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Provider Practice Location Address
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Address Line | 809 N CEDAR ST
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City | SUMMERVILLE
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State | SC
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Zip | 29483-6605
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Country | US
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Telephone | 843-871-9440
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Fax | 843-871-5932
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Provider Business Mailing Address
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Address Line | 201 SIGMA DR STE 100
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City | SUMMERVILLE
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State | SC
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Zip | 29486-7722
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Country | US
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Telephone | 843-871-9440
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Fax | 843-871-5932
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 19992
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License Number State | SC
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