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General NPI Number Information
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NPI Number | 1346069085
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Entity Type | Organization
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Legal Business Name | HATCHER DDS PLLC
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 2707 PINEDALE RD STE C
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City | GREENSBORO
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State | NC
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Zip | 27408-2020
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Country | US
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Telephone | 336-282-7870
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Fax |
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Provider Business Mailing Address
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Address Line | 2707 PINEDALE RD STE C
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City | GREENSBORO
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State | NC
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Zip | 27408-2020
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SR CREDENTIALING TEAM LEAD
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Name | JENNY GARCIA-ROCHA
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Credential |
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Telephone | 972-869-3789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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