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General NPI Number Information
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NPI Number | 1972598464
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Entity Type | Individual
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Provider Name | STEVEN A DUTCHER DO PHD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 4560 LANTANA RD STE 120
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City | LAKE WORTH
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State | FL
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Zip | 33463-6998
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Country | US
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Telephone | 561-433-4444
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Fax | 561-433-8877
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Provider Business Mailing Address
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Address Line | 4560 LANTANA RD STE 120
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City | LAKE WORTH
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State | FL
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Zip | 33463-6998
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Country | US
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Telephone | 561-433-4444
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Fax | 561-433-8877
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | OS 8151
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License Number State | FL
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