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General NPI Number Information
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NPI Number | 1053678466
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Entity Type | Individual
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Provider Name | PATRICK A HUCK PA
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Gender | Male
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Dates
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Enumeration Date | 04/23/2012
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Last Update Date | 07/14/2021
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Provider Practice Location Address
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Address Line | 799 FARSON ST STE 210
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City | BELPRE
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State | OH
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Zip | 45714-1044
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Country | US
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Telephone | 740-423-3082
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Fax | 740-423-3083
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Provider Business Mailing Address
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Address Line | PO BOX 449
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City | MARIETTA
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State | OH
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Zip | 45750-0449
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 50.003458RX
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License Number State | OH
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