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General NPI Number Information
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NPI Number | 1417151051
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Entity Type | Individual
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Provider Name | HEATHER ROSE HUTCHISON M.S.CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 08/05/2014
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Provider Practice Location Address
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Address Line | 15051 HARMONY HILLS LN
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City | ABINGDON
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State | VA
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Zip | 24211-7661
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Country | US
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Telephone | 276-451-2590
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Fax |
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Provider Business Mailing Address
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Address Line | 18187 KENWARN LN
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City | ABINGDON
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State | VA
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Zip | 24210-7985
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Country | US
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Telephone | 540-588-9172
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202005254
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License Number State | VA
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