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General NPI Number Information
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NPI Number | 1235376260
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Entity Type | Organization
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Legal Business Name | HUTCHISON SURGICAL ASSISTING INCORPORATED
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Dates
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Enumeration Date | 01/13/2009
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Last Update Date | 01/23/2009
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Provider Practice Location Address
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Address Line | 3090 RIO MONTANA DR
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City | MARIETTA
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State | GA
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Zip | 30066-4048
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Country | US
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Telephone | 404-790-5925
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Fax | 770-973-3041
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Provider Business Mailing Address
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Address Line | 3090 RIO MONTANA DR
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City | MARIETTA
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State | GA
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Zip | 30066-4048
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Country | US
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Telephone | 404-790-5925
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Fax | 770-973-3041
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Authorized Official
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Title or Position | CEO
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Name | ANTHONY LAUREN HUTCHISON
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Credential | ACNP, RNFA
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Telephone | 404-790-5925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN181652NP
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License Number State | GA
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