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NPI Code Detail

MEDICARE: MS. TAYLOR BRITTANY HATFIELD ATC

MEDICARE: MS. TAYLOR BRITTANY HATFIELD ATC
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
12255A2300XAthletic TrainerJ3-0000687DE

General Provider Information

NPI Number : 1801380266
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TAYLOR BRITTANY HATFIELD ATC
Provider Business Mailing Address
First Line : 13700 COLLINS POND RD E
Second Line :
City : GEORGETOWN
State : DE
Zip : 19947-3604
Country : US
Telephone Number : 302-858-1959
Fax Number :
Provider Business Practice Location Address
First Line : 560 S GOVERNORS AVE
Second Line :
City : DOVER
State : DE
Zip : 19904-3523
Country : US
Telephone Number : 302-744-7095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2018
Last Update Date : 06/19/2018

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