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General NPI Number Information
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NPI Number | 1205971306
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Entity Type | Organization
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Legal Business Name | HATCHER & DIAL INC.
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1 SCRIPPS DR STE 101
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City | SACRAMENTO
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State | CA
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Zip | 95825-6206
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Country | US
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Telephone | 916-646-3740
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Fax | 916-646-3742
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Provider Business Mailing Address
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Address Line | 1 SCRIPPS DR STE 101
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City | SACRAMENTO
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State | CA
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Zip | 95825-6206
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Country | US
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Telephone | 916-646-3740
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Fax | 916-646-3742
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRAIG DIAL
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Credential | D.X.T.
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Telephone | 916-646-3740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 126900000X
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Taxonomy Name | Dental Laboratory Technician
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License Number | RHP 41224
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License Number State | CA
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