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General NPI Number Information
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NPI Number | 1083037477
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Entity Type | Individual
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Provider Name | BONNIE CAROL HUFF FNP-BC, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/21/2014
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Last Update Date | 06/11/2023
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Provider Practice Location Address
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Address Line | 5000 CEDAR PLAZA PKWY STE 350
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City | SAINT LOUIS
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State | MO
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Zip | 63128-3859
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Country | US
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Telephone | 314-590-3721
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 CEDAR PLAZA PKWY STE 350
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City | SAINT LOUIS
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State | MO
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Zip | 63128-3859
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2014000683
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2023012587
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License Number State | MO
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