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General NPI Number Information
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NPI Number | 1881728764
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Entity Type | Individual
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Provider Name | IRENE L HATTON DI
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 129 PARK AVE
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City | SOMERSET
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State | KY
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Zip | 42501-1785
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Country | US
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Telephone | 606-677-1166
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Fax | 606-451-3386
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Provider Business Mailing Address
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Address Line | 1120 BRUSH CREEK RD
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City | CLAY CITY
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State | KY
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Zip | 40312
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Country | US
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Telephone | 606-663-3690
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Fax | 606-663-3690
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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