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General NPI Number Information
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NPI Number | 1255513131
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Entity Type | Organization
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Legal Business Name | DOUGLAS A CUTCHER DPM PLC
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 26029 FIVE MILE RD
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City | REDFORD
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State | MI
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Zip | 48239-3235
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Country | US
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Telephone | 313-255-7900
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Fax | 313-255-7901
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Provider Business Mailing Address
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Address Line | 26029 FIVE MILE RD
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City | REDFORD
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State | MI
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Zip | 48239-3235
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Country | US
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Telephone | 313-255-7900
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Fax | 313-255-7901
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Authorized Official
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Title or Position | OWNER
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Name | DR. DOUGLAS A CUTCHER
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Credential | DPM
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Telephone | 313-255-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State | MI
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