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General NPI Number Information
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NPI Number | 1063581106
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Entity Type | Organization
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Legal Business Name | HUTTON & HALE DDS INC
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 600 N MOUNTAIN AVENUE STE A205
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City | UPLAND
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State | CA
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Zip | 91786
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Country | US
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Telephone | 909-982-8836
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Fax | 909-982-5758
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Provider Business Mailing Address
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Address Line | 600 N MOUNTAIN AVENUE STE A205
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City | UPLAND
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State | CA
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Zip | 91786
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Country | US
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Telephone | 909-982-8836
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Fax | 909-982-5758
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. DEBORAH MARIE HUTTON
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Credential | DDS
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Telephone | 909-982-8836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30187
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 44422
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 51233
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License Number State | CA
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