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NPI Code Detail

MEDICARE: JENNIFER HUFF

MEDICARE: JENNIFER HUFF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOTL-1246ID

General Provider Information

NPI Number : 1134568447
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER HUFF
Provider Business Mailing Address
First Line : 1906 FAIRVIEW AVE
Second Line : SUITE 330
City : CALDWELL
State : ID
Zip : 83605-5407
Country : US
Telephone Number : 208-454-9223
Fax Number :
Provider Business Practice Location Address
First Line : 7211 W FRANKLIN RD
Second Line :
City : BOISE
State : ID
Zip : 83709-0926
Country : US
Telephone Number : 208-375-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2013
Last Update Date : 05/06/2015

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