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General NPI Number Information
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NPI Number | 1053393330
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Entity Type | Organization
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Legal Business Name | HUDSON HOLDINGS, INC
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 06/19/2013
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Provider Practice Location Address
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Address Line | 2622 W CENTRAL AVE SUITE 302
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City | WICHITA
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State | KS
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Zip | 67203
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Country | US
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Telephone | 316-265-3300
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Fax | 316-265-3304
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Provider Business Mailing Address
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Address Line | 2622 W CENTRAL AVE SUITE 302
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City | WICHITA
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State | KS
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Zip | 67203
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Country | US
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Telephone | 316-265-3300
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Fax | 316-265-3304
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MRS. JERRI M MCNAUGHT
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Credential |
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Telephone | 316-265-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 2-09896
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License Number State | KS
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