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General NPI Number Information
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NPI Number | 1083686984
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Entity Type | Individual
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Provider Name | HOWARD HENRY MCCUTCHAN O.D.
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Gender | Male
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 2306 12TH ST
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City | HARLAN
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State | IA
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Zip | 51537-2002
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Country | US
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Telephone | 712-755-3893
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Fax | 712-755-7580
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Provider Business Mailing Address
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Address Line | PO BOX 715
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City | HARLAN
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State | IA
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Zip | 51537-0715
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Country | US
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Telephone | 712-755-3893
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Fax | 712-755-7580
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1567
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License Number State | IA
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