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General NPI Number Information
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NPI Number | 1538436613
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Entity Type | Individual
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Provider Name | MARSHA LYNN HATCH APRN
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Gender | Female
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Dates
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Enumeration Date | 11/17/2011
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 1571 SPARTAN LN
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City | ATHENS
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State | GA
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Zip | 30606-5386
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Country | US
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Telephone | 706-424-8034
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Fax |
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Provider Business Mailing Address
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Address Line | 5181 HIGH SHOALS RD
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City | BISHOP
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State | GA
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Zip | 30621-1658
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Country | US
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Telephone | 706-765-7257
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP3417962
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN-261524
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License Number State | GA
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