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NPI Code Detail

MEDICARE: MRS. HEIDI LYNN HATFIELD

MEDICARE: MRS. HEIDI 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
1183500000XPharmacist21066OH

General Provider Information

NPI Number : 1497915284
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEIDI LYNN HATFIELD
Provider Business Mailing Address
First Line : 15344 MISHEY RD
Second Line :
City : FREDERICKTOWN
State : OH
Zip : 43019-9615
Country : US
Telephone Number : 740-504-1152
Fax Number :
Provider Business Practice Location Address
First Line : 207 W HIGH ST
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-2427
Country : US
Telephone Number : 740-392-0911
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2008
Last Update Date : 06/15/2008

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Directions to “ MRS. HEIDI LYNN HATFIELD ” Practice Location

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