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General NPI Number Information
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NPI Number | 1437372208
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Entity Type | Organization
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Legal Business Name | DR. RICHARD E. HULTS & ASSOC., INC.
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 06/20/2011
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Provider Practice Location Address
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Address Line | 4157 BELDEN VILLAGE MALL
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City | CANTON
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State | OH
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Zip | 44718-2501
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Country | US
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Telephone | 330-494-4140
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Fax | 866-425-2239
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Provider Business Mailing Address
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Address Line | PO BOX 880
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City | HUDSON
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State | OH
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Zip | 44236-5880
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Country | US
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Telephone | 330-697-4748
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Fax | 866-425-2239
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD E. HULTS
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Credential | O.D.
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Telephone | 330-963-3939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3420
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License Number State | OH
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