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General NPI Number Information
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NPI Number | 1790880672
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Entity Type | Individual
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Provider Name | ALEXANDER HAMMOND HATCHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1650 W COLLEGE ST
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City | GRAPEVINE
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State | TX
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Zip | 76051-3565
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Country | US
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Telephone | 817-329-2502
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Fax |
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Provider Business Mailing Address
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Address Line | 1317 BRIAR RIDGE DR
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City | KELLER
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State | TX
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Zip | 76248-8376
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Country | US
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Telephone | 817-312-2695
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | K-2484
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License Number State | TX
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