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General NPI Number Information
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NPI Number | 1174793087
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Entity Type | Organization
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Legal Business Name | EUGENE O HUDYMA DPM
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 7836 OAKWOOD RD STE A
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City | GLEN BURNIE
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State | MD
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Zip | 21061-4298
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Country | US
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Telephone | 410-768-6011
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Fax | 410-768-6012
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Provider Business Mailing Address
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Address Line | 7836 OAKWOOD RD STE A
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City | GLEN BURNIE
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State | MD
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Zip | 21061-4298
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Country | US
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Telephone | 410-768-6011
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Fax | 410-768-6012
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Authorized Official
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Title or Position | ACCOUNTS
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Name | MRS. JOYCE JOHNSTON
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Credential |
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Telephone | 410-768-6011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 00888
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License Number State | MD
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