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General NPI Number Information
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NPI Number | 1619050077
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Entity Type | Individual
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Provider Name | ANGELA KAY HUTCHINS M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2800 MAIN ST W
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City | SNELLVILLE
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State | GA
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Zip | 30078-3157
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Country | US
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Telephone | 770-979-2600
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Fax | 770-736-0014
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Provider Business Mailing Address
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Address Line | 3931 SAVANNAH RIDGE TRCE
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City | LOGANVILLE
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State | GA
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Zip | 30052-2543
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Country | US
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Telephone | 678-344-3131
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Fax | 770-736-0014
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 046130
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License Number State | GA
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