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Individual
NICHOLAS HATATE
Active
Individual
NICHOLAS HATATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
0102204572
VA
207QA0505X
Adult Medicine Physician
20A14803
CA
207QA0505X
Adult Medicine Physician
DO034597
DC
207QA0505X
Adult Medicine Physician
Primary
H0081805
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
09/14/2013
Last updated
05/31/2021
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