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General NPI Number Information
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NPI Number | 1235689001
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Entity Type | Organization
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Legal Business Name | MARY HATCH-MAILLETTE, PH.D., L.L.C.
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Dates
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Enumeration Date | 10/05/2016
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Last Update Date | 10/05/2016
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Provider Practice Location Address
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Address Line | 10740 MERIDIAN AVE N SUITE 110
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City | SEATTLE
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State | WA
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Zip | 98133-9010
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Country | US
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Telephone | 206-789-4868
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Fax |
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Provider Business Mailing Address
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Address Line | 10740 MERIDIAN AVE N SUITE 110
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City | SEATTLE
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State | WA
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Zip | 98133-9010
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Country | US
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Telephone | 206-789-4868
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARY HATCH-MAILLETTE
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Credential | PH.D.
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Telephone | 206-789-4868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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