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General NPI Number Information
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NPI Number | 1730179219
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Entity Type | Individual
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Provider Name | LESIA KIM HUTCHESON RN
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Gender | Female
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Dates
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Enumeration Date | 10/25/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | MCDONALD ARMY COMMUNITY HOSPITAL JEFFERSON AVENUE, BLDG 576
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City | FORT EUSTIS
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State | VA
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Zip | 23604
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Country | US
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Telephone | 757-878-4755
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Fax | 757-878-4533
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Provider Business Mailing Address
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Address Line | PO BOX 343
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City | ORDINARY
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State | VA
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Zip | 23131-0343
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Country | US
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Telephone | 804-642-4376
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 00011944007
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 448473
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License Number State | DE
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