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General NPI Number Information
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NPI Number | 1104303163
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Entity Type | Organization
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Legal Business Name | HUTCHINSON CONSULTANTS PC
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 07/23/2018
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Provider Practice Location Address
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Address Line | 214 WYNFIELD WAY
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City | AUBURN
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State | GA
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Zip | 30011-2849
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Country | US
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Telephone | 770-963-1223
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Fax | 770-995-5379
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Provider Business Mailing Address
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Address Line | 214 WYNFIELD WAY
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City | AUBURN
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State | GA
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Zip | 30011-2849
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Country | US
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Telephone | 770-963-1223
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Fax | 770-995-5379
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Authorized Official
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Title or Position | OWNER
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Name | DR. LESLIE HUTCHINSON
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Credential | MD
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Telephone | 678-699-3721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | 034620
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License Number State | GA
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