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General NPI Number Information
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NPI Number | 1043283294
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Entity Type | Organization
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Legal Business Name | THE HUTCHINSON OPHTHALMOLOGY ASC LLC
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 1708 E 23RD AVE
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City | HUTCHINSON
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State | KS
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Zip | 67502-1114
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Country | US
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Telephone | 620-664-5252
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Fax | 620-663-3944
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Provider Business Mailing Address
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Address Line | 1A BURTON HILLS BLVD
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City | NASHVILLE
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State | TN
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Zip | 37215-6187
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Country | US
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Telephone | 615-665-1283
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Fax | 615-234-1720
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY E SNODGRASS
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Credential |
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Telephone | 615-665-1283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | S078002
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License Number State | KS
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