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General NPI Number Information
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NPI Number | 1225167554
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Entity Type | Individual
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Provider Name | LEILEI C HUFFMAN MD
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Gender | Female
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Dates
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Enumeration Date | 03/04/2007
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Last Update Date | 10/03/2014
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Provider Practice Location Address
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Address Line | 95 DUNN DR 123
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City | STAFFORD
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State | VA
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Zip | 22556-1558
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Country | US
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Telephone | 540-659-2111
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Fax | 540-659-1634
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Provider Business Mailing Address
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Address Line | PO BOX 1460
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City | FREDERICKSBURG
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State | VA
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Zip | 22402-1460
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Country | US
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Telephone | 540-659-2111
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Fax | 540-659-1634
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 0101247341
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License Number State | VA
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