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General NPI Number Information
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NPI Number | 1225127756
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Entity Type | Organization
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Legal Business Name | HUTCHINSON SUPERSTORE INC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 1059 HIGHWAY 15 S
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City | HUTCHINSON
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State | MN
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Zip | 55350-3153
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Country | US
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Telephone | 320-587-4744
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Fax | 320-587-9168
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Provider Business Mailing Address
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Address Line | 1059 HIGHWAY 15 S
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City | HUTCHINSON
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State | MN
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Zip | 55350-3153
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW C HOPPE
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Credential |
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Telephone | 320-587-4744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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