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General NPI Number Information
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NPI Number | 1922055334
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Entity Type | Individual
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Provider Name | MATTHEW ALAN HUTCHINSON MD
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Gender | Male
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 08/23/2007
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Provider Practice Location Address
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Address Line | 10000 BAY PINES BLVD
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City | BAY PINES
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State | FL
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Zip | 33744
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Country | US
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Telephone | 727-398-9363
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Fax | 727-398-9575
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Provider Business Mailing Address
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Address Line | 16326 GULF BLVD UNIT 503
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City | NORTH REDINGTON BEACH
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State | FL
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Zip | 33708-1588
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Country | US
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Telephone | 727-398-9363
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Fax | 727-398-9575
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0011584
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License Number State | AL
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