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General NPI Number Information
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NPI Number | 1033150263
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Entity Type | Individual
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Provider Name | BOB HUTCHINS
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 911 ELLIS AVE
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City | JACKSON
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State | MS
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Zip | 39209-6256
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Country | US
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Telephone | 601-533-7016
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 746085
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City | ATLANTA
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State | GA
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Zip | 30374-6085
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Country | US
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Telephone | 469-727-6675
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 09818
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 09818
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License Number State | MS
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