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General NPI Number Information
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NPI Number | 1104958404
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Entity Type | Individual
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Provider Name | JUDY HATCH R.N., M.S.N, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 453 MAIN ST
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City | HAMPDEN
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State | MA
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Zip | 01036-9682
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Country | US
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Telephone | 413-532-9446
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 96
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City | HAMPDEN
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State | MA
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Zip | 01036-0096
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Country | US
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Telephone | 413-566-3635
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 112069
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License Number State | MA
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