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General NPI Number Information
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NPI Number | 1942373733
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Entity Type | Individual
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Provider Name | SU ANNE HAMMOND D.O.
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Gender | Female
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 32 TANDBERG TRL UNIT 6
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City | WINDHAM
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State | ME
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Zip | 04062-6417
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Country | US
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Telephone | 207-544-4564
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Fax | 207-407-7332
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Provider Business Mailing Address
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Address Line | 32 TANDBERG TRL UNIT 6
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City | WINDHAM
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State | ME
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Zip | 04062-6417
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Country | US
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Telephone | 207-544-4564
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Fax | 207-407-7332
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1883
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License Number State | ME
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