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General NPI Number Information
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NPI Number | 1972614782
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Entity Type | Individual
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Provider Name | JANE FRANCES HAMMOND PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 28240 AGOURA RD STE 201
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City | AGOURA HILLS
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State | CA
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Zip | 91301-2437
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Country | US
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Telephone | 747-334-2443
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Fax |
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Provider Business Mailing Address
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Address Line | 1421 BONNELL DR
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City | TOPANGA
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State | CA
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Zip | 90290-3902
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Country | US
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Telephone | 310-487-0911
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA15509
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License Number State | CA
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