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General NPI Number Information
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NPI Number | 1336441377
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Entity Type | Individual
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Provider Name | LINDA JANE HUGGINS
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Gender | Female
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Dates
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Enumeration Date | 11/24/2010
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Last Update Date | 11/24/2010
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Provider Practice Location Address
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Address Line | 307 BOATNER RD BLDG 1758
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City | EGLIN AFB
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State | FL
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Zip | 32542-1302
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Country | US
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Telephone | 850-883-8075
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Fax |
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Provider Business Mailing Address
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Address Line | 6563 AVENIDA DE GALVEZ
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City | NAVARRE
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State | FL
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Zip | 32566-8915
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Country | US
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Telephone | 850-939-8555
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS19157
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License Number State | FL
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