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General NPI Number Information
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NPI Number | 1316162696
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Entity Type | Individual
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Provider Name | BRADLEY JOSEPH HUTCHINS MPAS, PA-C
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Gender | Male
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 550 US HIGHWAY 62 W
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City | PRINCETON
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State | KY
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Zip | 42445-2435
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Country | US
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Telephone | 270-365-9599
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Fax | 888-814-0944
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Provider Business Mailing Address
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Address Line | 100 MEDICAL CENTER DR
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City | PRINCETON
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State | KY
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Zip | 42445-2430
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Country | US
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Telephone | 270-365-0300
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Fax | 270-365-0307
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA 305
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License Number State | KY
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