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General NPI Number Information
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NPI Number | 1174839070
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Entity Type | Organization
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Legal Business Name | JK HUFF INC
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Dates
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Enumeration Date | 08/30/2010
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Last Update Date | 08/30/2010
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Provider Practice Location Address
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Address Line | 1701 SHEPHERD RD
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City | LAKELAND
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State | FL
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Zip | 33811-2179
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Country | US
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Telephone | 863-646-5575
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Fax | 863-648-4465
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Provider Business Mailing Address
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Address Line | 1701 SHEPHERD RD
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City | LAKELAND
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State | FL
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Zip | 33811-2179
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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 | PRESIDENT
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Name | DR. JASON HUFFMAN
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Credential | D.C.
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Telephone | 618-214-8133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH 10041
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License Number State | FL
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