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General NPI Number Information
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NPI Number | 1871898585
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Entity Type | Individual
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Provider Name | MATTHEW HUTCHISON D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2011
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 1345 W BAY DR SUITE 401 & 402
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City | LARGO
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State | FL
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Zip | 33770-2282
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Country | US
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Telephone | 813-855-8450
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Fax |
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Provider Business Mailing Address
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Address Line | 1345 W BAY DR STE 401
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City | LARGO
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State | FL
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Zip | 33770-2264
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Country | US
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Telephone | 727-819-4411
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Fax | 727-223-9875
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | OS12596
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License Number State | FL
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