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General NPI Number Information
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NPI Number | 1033770649
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Entity Type | Individual
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Provider Name | JEFFREY HOUGHTON
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Gender | Male
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Dates
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Enumeration Date | 06/25/2019
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 501 AIRPORT RD
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City | RIFLE
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State | CO
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Zip | 81650-8510
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Country | US
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Telephone | 970-625-6496
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Fax |
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Provider Business Mailing Address
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Address Line | UNIVERSITY OF MICHIGAN DEPT. OF ANESTHESIOLOGY 1500 E. MEDICAL CENTER 1H241 UH
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City | ANN ARBOR
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State | MI
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Zip | 48109-5048
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Country | US
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Telephone |
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Fax |
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | DR.0073458
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License Number State | CO
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