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General NPI Number Information
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NPI Number | 1215015433
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Entity Type | Individual
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Provider Name | WENDI B HUDSON PT
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Gender | Female
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4955 E STATE ROAD 64
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City | BRADENTON
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State | FL
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Zip | 34208-5530
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Country | US
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Telephone | 941-748-9489
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Fax | 941-746-5637
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Provider Business Mailing Address
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Address Line | 6505 KING PALM WAY
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City | APOLLO BEACH
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State | FL
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Zip | 33572-2108
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Country | US
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Telephone | 941-748-9489
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Fax | 941-746-5637
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | PT15574
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License Number State | FL
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