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General NPI Number Information
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NPI Number | 1588020499
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Entity Type | Individual
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Provider Name | MISTY RHIANNON HUTTON DC, MAOM, LAC
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Gender | Female
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Dates
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Enumeration Date | 01/07/2016
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 25268 CA-18
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City | CRESTLINE
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State | CA
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Zip | 92325
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Country | US
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Telephone | 909-338-6477
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1831
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City | CRESTLINE
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State | CA
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Zip | 92325-1831
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Country | US
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Telephone | 909-338-6477
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC 4551; LAC-829
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 33114
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 33114
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 16296
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License Number State | CA
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