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General NPI Number Information
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NPI Number | 1295858819
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Entity Type | Organization
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Legal Business Name | HYRUM G. HATCH D.D.S., P.C.
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7350 S MCCLINTOCK DR # 103
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City | TEMPE
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State | AZ
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Zip | 85283-5006
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Country | US
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Telephone | 480-838-3073
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Fax | 480-838-5504
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Provider Business Mailing Address
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Address Line | 7350 S MCCLINTOCK DR # 103
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City | TEMPE
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State | AZ
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Zip | 85283-5006
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Country | US
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Telephone | 480-838-3073
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Fax | 480-838-5504
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Authorized Official
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Title or Position | DR , OWNER
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Name | DR. HYRUM GREGORY HATCH
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Credential | D.D.S.
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Telephone | 480-838-3073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3704
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License Number State | AZ
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