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General NPI Number Information
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NPI Number | 1578777959
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Entity Type | Organization
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Legal Business Name | HUTCHINSON CHIROPRACTIC AND WELLNESS CENTER, INC
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 11/07/2012
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Provider Practice Location Address
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Address Line | 6467 FARMDALE RD
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1305
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Country | US
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Telephone | 304-736-2050
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Fax | 304-736-3570
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Provider Business Mailing Address
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Address Line | 6467 FARMDALE RD
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1305
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Country | US
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Telephone | 304-736-2050
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Fax | 304-736-3570
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Authorized Official
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Title or Position | OWNER DOCTOR
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Name | DR. MISTY LYNN HUTCHINSON
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Credential | D.C.
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Telephone | 304-736-2050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 724
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License Number State | WV
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