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General NPI Number Information
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NPI Number | 1811559388
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Entity Type | Organization
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Legal Business Name | HATRICK VENTURES INC.
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Dates
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Enumeration Date | 07/03/2019
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Last Update Date | 07/03/2019
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Provider Practice Location Address
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Address Line | 10 MONOCACY BLVD
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City | FREDERICK
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State | MD
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Zip | 21704-7256
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Country | US
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Telephone | 301-682-3459
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Fax |
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Provider Business Mailing Address
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Address Line | 825 DUNBROOKE CT
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City | FREDERICK
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State | MD
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Zip | 21701-9315
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Country | US
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Telephone | 301-682-3459
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. LYNN A HATRICK
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Credential | OD
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Telephone | 301-514-7652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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