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General NPI Number Information
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NPI Number | 1629819073
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Entity Type | Individual
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Provider Name | COURTNEY HUTCHINSON PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/31/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 1070 W HORIZON RIDGE PKWY STE 210
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City | HENDERSON
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State | NV
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Zip | 89012-6020
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Country | US
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Telephone | 702-405-0904
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Fax |
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Provider Business Mailing Address
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Address Line | 644 AVENUE D
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City | BOULDER CITY
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State | NV
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Zip | 89005-2740
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Country | US
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Telephone | 725-212-2108
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PA144
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License Number State | NV
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