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General NPI Number Information
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NPI Number | 1174024350
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Entity Type | Individual
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Provider Name | LATANIA HUDSON APRN-BC
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Gender | Female
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Dates
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Enumeration Date | 02/23/2018
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 3009 N BALLAS RD STE 383C
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City | SAINT LOUIS
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State | MO
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Zip | 63131-2324
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Country | US
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Telephone | 314-305-1447
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Fax | 314-996-4546
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Provider Business Mailing Address
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Address Line | PO BOX 959203
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City | SAINT LOUIS
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State | MO
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Zip | 63195-9203
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Country | US
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Telephone | 314-305-1447
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Fax | 314-996-4546
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2025025426
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2025025426
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2006025679
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License Number State | MO
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