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General NPI Number Information
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NPI Number | 1043486392
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Entity Type | Individual
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Provider Name | KIM LOVAN HATCHER PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 301 FISHER ST KEESLER AFB
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City | BILOXI
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State | MS
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Zip | 39534-2508
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Country | US
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Telephone | 228-376-3878
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Fax |
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Provider Business Mailing Address
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Address Line | 1066 SOUTHERN WAY
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City | MOBILE
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State | AL
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Zip | 36609-3053
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Country | US
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Telephone | 251-404-5355
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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 | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | 09516
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License Number State | MS
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