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General NPI Number Information
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NPI Number | 1235117235
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Entity Type | Individual
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Provider Name | MARK CHARLES HUSS D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 11347 ROUTE 30 SUITE #3
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City | NORTH HUNTINGDON
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State | PA
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Zip | 15642-2024
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Country | US
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Telephone | 724-863-8500
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Fax | 724-863-1596
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Provider Business Mailing Address
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Address Line | 11347 ROUTE 30
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City | IRWIN
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State | PA
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Zip | 15642-2024
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Country | US
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Telephone |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC005780L
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License Number State | PA
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