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General NPI Number Information
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NPI Number | 1154591980
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Entity Type | Organization
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Legal Business Name | HOWARD HUDSON DPM PA
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 12/14/2012
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Provider Practice Location Address
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Address Line | 1255 RT 70 SUITE 21S
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5900
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Country | US
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Telephone | 732-367-2220
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Fax | 732-367-2293
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Provider Business Mailing Address
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Address Line | 1255 RT 70 SUITE 21S
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5900
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Country | US
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Telephone | 732-367-2220
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Fax | 732-367-2293
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Authorized Official
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Title or Position | OWNER
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Name | DR. HOWARD P HUDSON
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Credential | DPM
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Telephone | 732-367-2220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | MD000958
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License Number State | NJ
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