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General NPI Number Information
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NPI Number | 1477086312
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Entity Type | Individual
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Provider Name | NATHAN ANDREW HATTON DPT
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Gender | Male
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Dates
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Enumeration Date | 04/07/2017
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Last Update Date | 04/07/2017
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Provider Practice Location Address
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Address Line | 3400 ELVAS AVE
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City | SACRAMENTO
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State | CA
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Zip | 95819-1913
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Country | US
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Telephone | 916-457-8802
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Fax | 916-457-7609
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Provider Business Mailing Address
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Address Line | 2848 CLOVER LN
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City | SACRAMENTO
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State | CA
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Zip | 95821-3414
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Country | US
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Telephone | 916-214-6795
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT292753
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License Number State | CA
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