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General NPI Number Information
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NPI Number | 1699863415
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Entity Type | Organization
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Legal Business Name | CANDICE HUTCHESON, D.D.S., M.S., PLLC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 12/26/2017
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Provider Practice Location Address
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Address Line | 100 N CENTRAL EXPY SUITE 1108
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City | RICHARDSON
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State | TX
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Zip | 75080-5332
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Country | US
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Telephone | 972-235-8555
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Fax | 972-235-3148
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Provider Business Mailing Address
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Address Line | 100 N CENTRAL EXPY SUITE 1108
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City | RICHARDSON
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State | TX
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Zip | 75080-5332
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Country | US
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Telephone | 972-235-8555
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Fax | 972-235-3148
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Authorized Official
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Title or Position | OWNER
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Name | DR. CANDICE ZERBY HUTCHESON
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Credential | DDS, MS
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Telephone | 972-235-8555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 11388
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 19681
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 23843
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License Number State | TX
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