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General NPI Number Information
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NPI Number | 1215287388
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Entity Type | Individual
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Provider Name | JENNIFER SUE HUFF RDH
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Gender | Female
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 09/14/2012
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Provider Practice Location Address
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Address Line | 829 CHIEF EDDIE HOFFMAN HWY
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City | BETHEL
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State | AK
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Zip | 99559
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Country | US
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Telephone | 907-543-6229
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 EDINBURGH DR APT 203
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City | TYLER
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State | TX
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Zip | 75703-2706
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Country | US
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Telephone | 940-368-5596
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 2154
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 13059
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License Number State | TX
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