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General NPI Number Information
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NPI Number | 1164132684
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Entity Type | Individual
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Provider Name | MRS. DONNA SUE HUGGINS
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Gender | Female
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Dates
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Enumeration Date | 11/28/2022
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 205 DEWEY AVE STE 8
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City | POTEAU
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State | OK
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Zip | 74953-4224
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Country | US
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Telephone | 479-650-9691
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Fax |
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Provider Business Mailing Address
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Address Line | 46100 LOVINGS LN
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City | HEAVENER
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State | OK
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Zip | 74937-9120
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Country | US
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Telephone | 479-831-3393
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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