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General NPI Number Information
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NPI Number | 1932575875
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Entity Type | Organization
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Legal Business Name | VICKI HATCH NUTRITION INC
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Dates
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Enumeration Date | 08/14/2015
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 2875 NE 191ST ST STE 552
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City | AVENTURA
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State | FL
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Zip | 33180-2801
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Country | US
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Telephone | 954-840-7296
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Fax | 954-200-7796
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Provider Business Mailing Address
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Address Line | 3350 NE 192ND ST APT 3P
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City | AVENTURA
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State | FL
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Zip | 33180-2461
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Country | US
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Telephone | 954-840-7296
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Fax | 954-200-7796
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | VICKI HATCH
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Credential | MS, RDN, LDN, CDE
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Telephone | 954-840-7296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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