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General NPI Number Information
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NPI Number | 1104886928
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Entity Type | Individual
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Provider Name | THOMAS JAMES HATTEN D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 01/25/2018
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Provider Practice Location Address
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Address Line | 25 NORTH JOHNSON STREET
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City | COATS
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State | NC
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Zip | 27521
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Country | US
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Telephone | 910-897-6423
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Fax | 910-897-2540
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Provider Business Mailing Address
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Address Line | 25 N. JOHNSON ST.
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City | COATS
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State | NC
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Zip | 27521
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Country | US
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Telephone | 910-897-6423
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Fax | 910-897-2540
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 02613
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 200800345
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License Number State | NC
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