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General NPI Number Information
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NPI Number | 1235175050
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Entity Type | Individual
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Provider Name | SHAWNA KATHLEEN HUDSON D.C.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 12/16/2008
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Provider Practice Location Address
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Address Line | 1820-1 W 43RD ST
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City | HOUSTON
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State | TX
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Zip | 77018-3006
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Country | US
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Telephone | 713-290-1905
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Fax | 713-290-8322
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Provider Business Mailing Address
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Address Line | 1209 CORTLANDT ST
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City | HOUSTON
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State | TX
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Zip | 77008-7063
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Country | US
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Telephone | 713-862-6008
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Fax | 713-290-8322
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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 | 7149DC
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License Number State | TX
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