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NPI Code Detail

MEDICARE: TOREN D HATTEN BA

MEDICARE: TOREN D HATTEN BA
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
1171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1790641280
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOREN D HATTEN BA
Provider Business Mailing Address
First Line : 3406 ALTAMONT AVE
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-1812
Country : US
Telephone Number : 216-466-3675
Fax Number :
Provider Business Practice Location Address
First Line : 26055 EMERY RD STE K
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-6211
Country : US
Telephone Number : 216-466-3675
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2025
Last Update Date : 12/29/2025

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Directions to “ TOREN D HATTEN BA” Practice Location

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