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General NPI Number Information
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NPI Number | 1952455685
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Entity Type | Individual
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Provider Name | MARCUS MARTIN HUTCHINSON P.T.
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 2860 RONALD REAGAN BLVD
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City | CUMMING
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State | GA
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Zip | 30041-6287
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Country | US
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Telephone | 404-350-4793
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Fax | 833-731-0406
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Provider Business Mailing Address
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Address Line | 2860 RONALD REAGAN BLVD
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City | CUMMING
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State | GA
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Zip | 30041-6287
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Country | US
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Telephone | 404-350-4793
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Fax |
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT003354
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT003354
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | PT003354
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License Number State | GA
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