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General NPI Number Information
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NPI Number | 1316126931
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Entity Type | Organization
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Legal Business Name | KATHLEEN E. HUGGINS
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 08/24/2015
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Provider Practice Location Address
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Address Line | 2705 MCMILLAN AVE SUITE 130
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-4741
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Country | US
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Telephone | 805-541-1463
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Fax | 805-541-1469
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Provider Business Mailing Address
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Address Line | 2705 MCMILLAN AVE SUITE 130
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-4741
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Country | US
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Telephone | 805-541-1463
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Fax | 805-541-1469
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Authorized Official
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Title or Position | OWNER
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Name | KATHLEEN E HUGGINS
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Credential | RN
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Telephone | 805-550-9120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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