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General NPI Number Information
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NPI Number | 1962676197
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Entity Type | Organization
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Legal Business Name | JAMES MUTCHERSON, M.D., P.A. CHRTD.
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 1140 VARNUM ST NE STE 30
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City | WASHINGTON
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State | DC
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Zip | 20017-2152
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Country | US
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Telephone | 202-269-4223
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Fax | 202-269-9406
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Provider Business Mailing Address
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Address Line | 1140 VARNUM ST NE STE 30
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City | WASHINGTON
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State | DC
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Zip | 20017-2152
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Country | US
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Telephone | 202-269-4223
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Fax | 202-269-9406
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Authorized Official
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Title or Position | OWNER
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Name | JAMES A MUTCHERSON
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Credential | M.D.
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Telephone | 202-269-4223
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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 | MD7606
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License Number State | DC
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