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General NPI Number Information
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NPI Number | 1245158005
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Entity Type | Individual
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Provider Name | JENNIFER HATCH
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Gender | Female
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 19 E MOUNTAIN ST STE 6
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-6067
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Country | US
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Telephone | 479-790-1216
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Fax |
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Provider Business Mailing Address
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Address Line | 4537 W CANYON RUN DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72704-3425
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Country | US
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Telephone | 479-790-1216
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A2601008
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License Number State | AR
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