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General NPI Number Information
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NPI Number | 1659800696
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Entity Type | Individual
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Provider Name | PATRICIA L HUTKIN FAMILY NP
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Gender | Female
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Dates
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Enumeration Date | 06/04/2017
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Last Update Date | 04/04/2019
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Provider Practice Location Address
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Address Line | 4923 OGLETOWN STANTON RD STE 110
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City | NEWARK
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State | DE
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Zip | 19713-2081
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Country | US
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Telephone | 615-488-0702
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Fax | 615-488-0708
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Provider Business Mailing Address
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Address Line | 1661 HEWES AVE
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City | LINWOOD
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State | PA
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Zip | 19061-4219
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Country | US
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Telephone | 302-437-9190
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG-0001043
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License Number State | DE
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