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General NPI Number Information
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NPI Number | 1689706079
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Entity Type | Individual
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Provider Name | REBECCA HATTON PSYD
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 2311 E. STADIUM BLVD, STE 105-NORTH, # 9
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City | ANN ARBOR
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State | MI
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Zip | 48104-4833
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Country | US
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Telephone | 734-709-2183
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Fax | 888-520-1372
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Provider Business Mailing Address
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Address Line | 2035 SUFFOLK ST
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City | ANN ARBOR
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State | MI
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Zip | 48103-5049
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Country | US
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Telephone | 734-709-2183
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Fax | 888-520-1372
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301012318
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License Number State | MI
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