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NPI Profile for NICHOLAS HATATE in HYATTSVILLE, MD.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI # | 1710313358 |
|
| Status | Active | |
| Credentials | DO (Doctor of Osteopathic) | |
| Entity | Individual | |
| Enumeration date | 09/14/2013 | |
| Last updated | 05/31/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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NICHOLAS HATATE
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NICHOLAS HATATE, DO