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General NPI Number Information
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NPI Number | 1134631450
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Entity Type | Individual
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Provider Name | MEREDITH ROLLINS HATCHER PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 204 S INTERSTATE I-35 SUITE 103
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City | GEORGETOWN
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State | TX
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Zip | 78628
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Country | US
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Telephone | 512-693-4041
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Fax | 512-290-9226
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Provider Business Mailing Address
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Address Line | 204 S INTERSTATE I-35 SUITE 103
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City | GEORGETOWN
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State | TX
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Zip | 78628
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Country | US
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Telephone | 512-693-4041
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Fax | 512-290-9226
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA11653
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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