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General NPI Number Information
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NPI Number | 1205307170
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Entity Type | Individual
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Provider Name | MARJORIE HATSZEGI CNP
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Gender | Female
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 5536 HILLIARD ROME OFFICE PARK
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City | HILLIARD
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State | OH
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Zip | 43026-7286
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Country | US
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Telephone | 614-655-7555
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 ROYAL CROWN CT
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City | GREEN BAY
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State | WI
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Zip | 54313-4390
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Country | US
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Telephone | 937-408-8657
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10310-33
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 023936
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License Number State | OH
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