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General NPI Number Information
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NPI Number | 1427426584
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Entity Type | Individual
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Provider Name | JEANNE MARIE HATCH D.C.
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Gender | Female
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Dates
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Enumeration Date | 09/07/2015
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Last Update Date | 03/02/2016
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Provider Practice Location Address
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Address Line | 421 CHURCH ST NE SUITE E
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City | VIENNA
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State | VA
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Zip | 22180-4708
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Country | US
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Telephone | 703-689-0762
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Fax |
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Provider Business Mailing Address
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Address Line | 421 CHURCH ST NE SUITE E
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City | VIENNA
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State | VA
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Zip | 22180-4708
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Country | US
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Telephone | 814-330-2597
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104556843
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License Number State | VA
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