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General NPI Number Information
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NPI Number | 1518124494
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Entity Type | Individual
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Provider Name | JOEL HUTCHINSON PHD
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Gender | Male
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 04/08/2014
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Provider Practice Location Address
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Address Line | 1845 S DOBSON RD SUITE 213
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City | MESA
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State | AZ
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Zip | 85202-5661
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Country | US
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Telephone | 480-466-6397
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Fax | 480-820-0239
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Provider Business Mailing Address
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Address Line | 1845 S DOBSON RD SUITE 213
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City | MESA
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State | AZ
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Zip | 85202-5661
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Country | US
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Telephone | 480-466-6397
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Fax | 480-820-0239
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 1440
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License Number State | AZ
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