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General NPI Number Information
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NPI Number | 1942531421
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Entity Type | Organization
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Legal Business Name | ANGELA N. HUTZENBUHLER MD GASTROENTEROLOGY PA
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Dates
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Enumeration Date | 01/22/2010
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Last Update Date | 01/22/2010
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Provider Practice Location Address
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Address Line | 3200 BLUE RIDGE RD SUITE 226
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City | RALEIGH
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State | NC
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Zip | 27612-8086
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Country | US
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Telephone | 919-788-9060
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Fax | 919-861-7748
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Provider Business Mailing Address
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Address Line | 3200 BLUE RIDGE RD SUITE 226
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City | RALEIGH
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State | NC
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Zip | 27612-8086
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Country | US
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Telephone | 919-788-9060
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Fax | 919-861-7748
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANGELA N. HUTZENBUHLER
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Credential | MD
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Telephone | 919-788-9060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 34994
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License Number State | NC
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