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General NPI Number Information
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NPI Number | 1821023920
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Entity Type | Individual
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Provider Name | JEFFRY CLARK HATCHER DO
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 21022 ROCKY KNOLL SQ APT 105
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City | ASHBURN
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State | VA
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Zip | 20147-5715
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Country | US
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Telephone | 571-442-4674
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Fax | 402-800-7635
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Provider Business Mailing Address
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Address Line | PO BOX 642117
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City | OMAHA
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State | NE
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Zip | 68164-8117
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Country | US
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Telephone | 402-398-6255
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Fax | 402-553-5092
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0102204324
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License Number State | VA
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