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General NPI Number Information
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NPI Number | 1992963649
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Entity Type | Individual
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Provider Name | CAROL M HUTCHINSON DO
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Gender | Female
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 4710 S PALO VERDE RD
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City | TUCSON
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State | AZ
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Zip | 85714-1947
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Country | US
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Telephone | 520-638-2000
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Fax | 520-807-6872
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Provider Business Mailing Address
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Address Line | 4710 S PALO VERDE RD
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City | TUCSON
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State | AZ
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Zip | 85714-1947
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Country | US
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Telephone | 520-638-2000
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Fax | 520-807-0990
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2121
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 2121
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License Number State | AZ
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