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General NPI Number Information
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NPI Number | 1760484380
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Entity Type | Individual
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Provider Name | DIANA K MCCUTCHEON M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 03/16/2009
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Provider Practice Location Address
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Address Line | 2850 HIGHWAY 101
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City | ROGERSVILLE
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State | AL
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Zip | 35652-6046
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Country | US
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Telephone | 256-247-1331
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Fax | 256-247-9791
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Provider Business Mailing Address
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Address Line | 11631 HIGHWAY 101
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City | LEXINGTON
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State | AL
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Zip | 35648-3249
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Country | US
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Telephone | 256-229-6691
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Fax | 256-229-6866
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 19246
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 19246
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License Number State | AL
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