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General NPI Number Information
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NPI Number | 1790737013
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Entity Type | Individual
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Provider Name | MALLORY C HATFIELD MD
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 08/18/2014
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Provider Practice Location Address
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Address Line | 46 NORTH ST SUITE 6
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City | HYANNIS
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State | MA
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Zip | 02601-3845
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Country | US
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Telephone | 508-778-4888
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Fax | 508-778-4887
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Provider Business Mailing Address
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Address Line | 46 NORTH ST SUITE 6
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City | HYANNIS
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State | MA
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Zip | 02601-3845
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Country | US
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Telephone | 508-778-4888
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Fax | 508-778-4887
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 82138
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License Number State | MA
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