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Individual
NAN E HATCH
Active
Individual
NAN E HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901019265
MI
1223G0001X
General Practice Dentistry
Primary
2901019265
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1958112050
BCBS OF MED SURGICAL
MI
05
—
4827042
—
MI
05
—
4827104
—
MI
01
—
D192650
BCBS OF MI DENTAL
MI
Enumeration date
03/19/2007
Last updated
06/17/2008
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