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General NPI Number Information
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NPI Number | 1952859407
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Entity Type | Organization
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Legal Business Name | HUTCHISON HEALTH CONSULTING LLC
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Dates
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Enumeration Date | 09/13/2016
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Last Update Date | 09/13/2016
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Provider Practice Location Address
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Address Line | 16719 CORDILLERA DR
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City | PEOSTA
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State | IA
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Zip | 52068-7016
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Country | US
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Telephone | 563-580-0246
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Fax |
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Provider Business Mailing Address
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Address Line | 16719 CORDILLERA DR
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City | PEOSTA
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State | IA
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Zip | 52068-7016
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Country | US
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Telephone | 563-580-0246
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAWRENCE RONALD HUTCHISON
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Credential | M.D.
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Telephone | 563-580-0246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 33988
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License Number State | IA
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