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General NPI Number Information
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NPI Number | 1952364978
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Entity Type | Individual
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Provider Name | LANCE A HAMMONS PT, ATC
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Gender | Male
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 805 N RANDALL RD
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City | BATAVIA
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State | IL
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Zip | 60510-1992
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Country | US
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Telephone | 630-593-5100
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Fax | 630-593-5101
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Provider Business Mailing Address
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Address Line | 600 OAKMONT LN STE 600C
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City | WESTMONT
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State | IL
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Zip | 60559-5548
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Country | US
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Telephone | 630-575-6250
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 096-001848
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070-013772
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License Number State | IL
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