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General NPI Number Information
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NPI Number | 1114149424
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Entity Type | Individual
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Provider Name | STEVEN RENE' HUTCHINSON RPH
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 11/25/2016
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Provider Practice Location Address
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Address Line | 1905 ACACIA CT
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City | MCKINLEYVILLE
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State | CA
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Zip | 95519-4285
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Country | US
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Telephone | 707-498-5431
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Fax | 707-839-2889
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Provider Business Mailing Address
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Address Line | 1905 ACACIA CT
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City | MCKINLEYVILLE
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State | CA
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Zip | 95519-4285
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Country | US
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Telephone | 707-498-5431
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Fax | 707-839-2889
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH28201
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License Number State | CA
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