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NPI Code Detail

MEDICARE: JAMIE LYNN HATFIELD

MEDICARE:   JAMIE LYNN HATFIELD
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1093410177
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE LYNN HATFIELD
Provider Business Mailing Address
First Line : 6568 STATE ROUTE 668 S
Second Line :
City : NEW STRAITSVILLE
State : OH
Zip : 43766-9716
Country : US
Telephone Number : 740-385-8131
Fax Number :
Provider Business Practice Location Address
First Line : 6568 STATE ROUTE 668 S
Second Line :
City : NEW STRAITSVILLE
State : OH
Zip : 43766-9716
Country : US
Telephone Number : 740-385-8131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2023
Last Update Date : 03/30/2023

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