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General NPI Number Information
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NPI Number | 1821150855
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Entity Type | Organization
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Legal Business Name | HATFIELD PHYSICIAN SERVICES, INC.
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 10/05/2011
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Provider Practice Location Address
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Address Line | 200 CARAWAY DR SUITE 1
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City | WINFIELD
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State | AL
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Zip | 35594-5048
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Country | US
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Telephone | 205-487-3625
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Fax | 205-487-7559
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Provider Business Mailing Address
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Address Line | PO BOX 1857
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City | WINFIELD
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State | AL
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Zip | 35594-1419
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Country | US
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Telephone | 205-487-3625
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Fax | 205-487-7559
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIC JASON HATFIELD
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Credential | D.O.
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Telephone | 205-487-3625
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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 | DO-649
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License Number State | AL
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