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General NPI Number Information
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NPI Number | 1902019680
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Entity Type | Individual
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Provider Name | LEZA L HATCH PT, OCS, COS-C
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 930 OLIVE DRIVE UNIT NUMBER 59
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City | BAKERSFIELD
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State | CA
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Zip | 93308-4182
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Country | US
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Telephone | 661-205-7080
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Fax | 661-399-5733
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Provider Business Mailing Address
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Address Line | 930 OLIVE DRIVE UNIT NUMBER 59
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City | BAKERSFIELD
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State | CA
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Zip | 93308-4182
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Country | US
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Telephone | 661-205-7080
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Fax | 661-399-5733
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 18979
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License Number State | CA
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