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General NPI Number Information
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NPI Number | 1124608641
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Entity Type | Individual
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Provider Name | CAROLYN HUTCHINSON
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Gender | Female
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Dates
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Enumeration Date | 04/09/2021
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 506 6TH ST
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City | BROOKLYN
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State | NY
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Zip | 11215-3609
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Country | US
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Telephone | 347-777-5393
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 100366
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City | BROOKLYN
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State | NY
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Zip | 11210-0366
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Country | US
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Telephone | 347-777-5393
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Fax |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 310061
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 641750
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License Number State | NY
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