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General NPI Number Information
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NPI Number | 1386316701
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Entity Type | Individual
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Provider Name | KENDRA RENNE HATCHER
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Gender | Female
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 36700 WOODWARD AVE
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-0926
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Country | US
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Telephone | 248-702-4020
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Fax |
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Provider Business Mailing Address
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Address Line | 22262 CIVIC CENTER DR APT 310
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City | SOUTHFIELD
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State | MI
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Zip | 48033-2630
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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 |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6851116576
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License Number State | MI
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