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General NPI Number Information
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NPI Number | 1982329595
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Entity Type | Organization
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Legal Business Name | ALEX HUTZELL, O.D.,P.C.
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Dates
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Enumeration Date | 10/05/2022
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 2424 SHASTA WAY
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-4354
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Country | US
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Telephone | 541-882-2812
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Fax | 541-882-5075
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Provider Business Mailing Address
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Address Line | 2424 SHASTA WAY
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-4354
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Country | US
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Telephone | 541-882-2812
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Fax | 541-882-5075
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALEXANDRIA HUTZELL
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Credential | O.D.
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Telephone | 707-218-8127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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