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General NPI Number Information
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NPI Number | 1689736126
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Entity Type | Individual
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Provider Name | GARY D CUTLER OD.
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Gender | Male
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 04/26/2011
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Provider Practice Location Address
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Address Line | 195 E GENTILE ST SUITE 3
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City | LAYTON
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State | UT
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Zip | 84041-3754
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Country | US
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Telephone | 801-546-2020
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Fax | 801-546-1237
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Provider Business Mailing Address
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Address Line | 195 E GENTILE ST SUITE 3
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City | LAYTON
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State | UT
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Zip | 84041-3754
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Country | US
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Telephone | 801-546-2020
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Fax | 801-546-1237
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1097449934
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License Number State | UT
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