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NPI Code Detail

MEDICARE: MARLENE HATCH

MEDICARE: MARLENE HATCH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1033248737
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLENE HATCH
Provider Business Mailing Address
First Line : 270 STATE RD
Second Line :
City : WEST BATH
State : ME
Zip : 04530-6320
Country : US
Telephone Number : 207-442-8625
Fax Number : 207-442-8318
Provider Business Practice Location Address
First Line : 270 STATE RD
Second Line :
City : WEST BATH
State : ME
Zip : 04530-6320
Country : US
Telephone Number : 207-442-8625
Fax Number : 207-442-8318
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 07/08/2007

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Directions to “ MARLENE HATCH ” Practice Location

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