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General NPI Number Information
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NPI Number | 1851409312
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Entity Type | Individual
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Provider Name | MARY S. HATTEMER L.I.S.W.
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Gender | Female
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Dates
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Enumeration Date | 08/26/2006
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 2201 NW WASHINGTON BLVD STE A
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City | HAMILTON
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State | OH
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Zip | 45013-5834
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Country | US
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Telephone | 513-869-7000
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Fax | 515-785-4272
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Provider Business Mailing Address
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Address Line | 2201 NW WASHINGTON BLVD STE A
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City | HAMILTON
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State | OH
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Zip | 45013-5834
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Country | US
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Telephone | 513-869-7000
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Fax | 515-785-4272
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | I0005217
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1035
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License Number State | KY
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