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General NPI Number Information
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NPI Number | 1184295560
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Entity Type | Individual
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Provider Name | TODD C HOUCHIN
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Gender | Male
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Dates
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Enumeration Date | 07/07/2021
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Last Update Date | 07/07/2021
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Provider Practice Location Address
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Address Line | 4106 REAS LN
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City | NEW ALBANY
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State | IN
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Zip | 47150-3279
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Country | US
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Telephone | 812-528-0845
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Fax |
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Provider Business Mailing Address
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Address Line | 11261 W SUDER LN
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City | CAMPBELLSBURG
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State | IN
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Zip | 47108-6505
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Country | US
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Telephone | 181-262-0877
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | IN
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