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General NPI Number Information
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NPI Number | 1043546310
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Entity Type | Organization
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Legal Business Name | HUTTON OB GYN PLLC
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Dates
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Enumeration Date | 10/21/2009
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Last Update Date | 10/21/2009
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Provider Practice Location Address
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Address Line | 2260 W. HOLCOMBE BLVD. STE. 253
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 281-772-7561
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Fax | 281-817-7549
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Provider Business Mailing Address
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Address Line | 2260 W HOLCOMBE BLVD SUITE 253
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City | HOUSTON
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State | TX
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Zip | 77030-2008
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Country | US
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Telephone | 281-772-7861
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Fax |
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Authorized Official
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Title or Position | CERTIFIED CODER
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Name | MRS. MARTY VARGAS
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Credential | CMC
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Telephone | 281-412-0403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | K3893
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License Number State | TX
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