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Individual
EDWARD CUTLER
Active
Individual
EDWARD CUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPCT
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
38D2120916
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38D2120916
CLIA WAIVER CERT
OR
Enumeration date
10/27/2020
Last updated
10/27/2020
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