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General NPI Number Information
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NPI Number | 1033189972
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Entity Type | Individual
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Provider Name | RONALD GENE HUTSON PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 611 E 5TH AVE
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City | RANSON
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State | WV
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Zip | 25438-1770
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Country | US
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Telephone | 304-724-7417
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Fax | 304-724-7418
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Provider Business Mailing Address
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Address Line | 101 DARTMOUTH LN
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City | FALLING WATERS
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State | WV
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Zip | 25419-3972
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Country | US
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Telephone | 304-274-6126
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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