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General NPI Number Information
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NPI Number | 1457879009
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Entity Type | Individual
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Provider Name | MR. NOAH CHUTZ
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Gender | Male
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Dates
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Enumeration Date | 09/05/2017
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 1100 BUTTE ST
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City | REDDING
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State | CA
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Zip | 96001
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Country | US
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Telephone | 530-244-8349
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Fax |
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Provider Business Mailing Address
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Address Line | 255 RICE LANE
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City | WHITEFISH
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State | MT
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Zip | 59937
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 56111
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License Number State | CA
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