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General NPI Number Information
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NPI Number | 1902909559
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Entity Type | Organization
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Legal Business Name | HUTCHINSON CLINIC INC
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 624 W LOCKLING AVE
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City | BROOKFIELD
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State | MO
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Zip | 64628
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Country | US
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Telephone | 660-258-2536
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Fax | 660-258-3719
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Provider Business Mailing Address
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Address Line | PO BOX 312
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City | BROOKFIELD
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State | MO
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Zip | 64628
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Country | US
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Telephone | 660-258-2536
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Fax | 660-258-3719
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Authorized Official
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Title or Position | OWNER /PRESIDENT
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Name | DR. NANCY A HUTCHINSON
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Credential | DO
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Telephone | 660-258-2536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 30110
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 30110
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License Number State | MO
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