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General NPI Number Information
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NPI Number | 1235402280
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Entity Type | Individual
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Provider Name | HELEN LOUISE HUDDLESTON RPH
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Gender | Female
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Dates
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Enumeration Date | 02/21/2012
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 2500 SANTIAM HWY SE
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City | ALBANY
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State | OR
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Zip | 97322-5265
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Country | US
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Telephone | 541-967-6730
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Fax | 547-967-6741
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Provider Business Mailing Address
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Address Line | 34419 NE WOLCOTT ST
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City | CORVALLIS
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State | OR
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Zip | 97333-2202
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Country | US
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Telephone | 541-967-6730
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Fax | 541-967-6741
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 8654
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License Number State | OR
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