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Individual
JOHN MARK HAMM
Active
Individual
JOHN MARK HAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5306
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y8111
BLUE SHIELD PROV #
FL
Enumeration date
04/12/2006
Last updated
07/08/2007
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