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NPI Code Detail

MEDICARE: TRACY HAMMER

MEDICARE:   TRACY  HAMMER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN269800OH

General Provider Information

NPI Number : 1265845929
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY HAMMER
Provider Business Mailing Address
First Line : 11685 WEST STATE RT 163
Second Line :
City : OAK HARBOR
State : OH
Zip : 43449
Country : US
Telephone Number : 419-898-6210
Fax Number :
Provider Business Practice Location Address
First Line : 11685 W STATE ROUTE 163
Second Line :
City : OAK HARBOR
State : OH
Zip : 43449-1278
Country : US
Telephone Number : 419-898-6210
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2014
Last Update Date : 06/10/2014

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Directions to “ TRACY HAMMER ” Practice Location

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