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General NPI Number Information
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NPI Number | 1265631279
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Entity Type | Individual
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Provider Name | ROSE A HATCHETT MA, OTR, LPC
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Gender | Female
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 06/27/2011
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Provider Practice Location Address
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Address Line | 8266 CLINTON MACON RD
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City | CLINTON
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State | MI
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Zip | 49236-9532
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Country | US
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Telephone | 517-423-1915
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Fax |
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Provider Business Mailing Address
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Address Line | 8266 CLINTON MACON RD
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City | CLINTON
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State | MI
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Zip | 49236-9532
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Country | US
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Telephone | 517-423-1915
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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 | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | L705804
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2674691
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License Number State | MI
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