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General NPI Number Information
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NPI Number | 1205836210
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Entity Type | Individual
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Provider Name | FRANK VERNON HATCH PT
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Gender | Male
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Dates
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Enumeration Date | 08/01/2005
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Last Update Date | 11/16/2018
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Provider Practice Location Address
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Address Line | 1850 OLD PECOS TRL STE H
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City | SANTA FE
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State | NM
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Zip | 87505-4760
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Country | US
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Telephone | 505-983-2673
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Fax | 505-832-3321
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Provider Business Mailing Address
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Address Line | 1850 OLD PECOS TRL STE H
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City | SANTA FE
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State | NM
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Zip | 87505-4760
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Country | US
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Telephone | 505-983-2673
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Fax | 505-832-3321
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1833
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License Number State | NM
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