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Individual
DR. CHARLES RICHARD HATHAWAY
Active
Individual
DR. CHARLES RICHARD HATHAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
27-1248
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-1718201
TAX ID
OR
Enumeration date
10/18/2006
Last updated
11/09/2023
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