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General NPI Number Information
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NPI Number | 1174949408
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Entity Type | Organization
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Legal Business Name | NORMAN F. HUEFNER DMD A PROF CORP
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Dates
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Enumeration Date | 03/11/2014
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Last Update Date | 03/11/2014
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Provider Practice Location Address
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Address Line | 30131 TOWN CENTER DR 160
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-2034
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Country | US
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Telephone | 949-495-6322
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Fax | 949-495-0642
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Provider Business Mailing Address
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Address Line | 30131 TOWN CENTER DR STE 160
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-2040
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Country | US
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Telephone | 949-495-6322
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Fax | 949-495-0642
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Authorized Official
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Title or Position | DR.
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Name | DR. NORMAN F HUEFNER
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Credential | DMD
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Telephone | 949-495-6322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 27767
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License Number State | CA
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