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General NPI Number Information
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NPI Number | 1346957529
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Entity Type | Individual
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Provider Name | TONY DAVID HUDGINS PH D
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Gender | Male
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Dates
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Enumeration Date | 10/28/2022
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 1624 N TRAVIS ST
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City | SHERMAN
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State | TX
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Zip | 75092-3762
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Country | US
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Telephone | 903-892-9291
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Fax |
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Provider Business Mailing Address
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Address Line | 31 LIBERTY ST
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City | CALERA
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State | OK
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Zip | 74730-5519
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Country | US
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Telephone | 580-980-2190
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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 | 13739
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 44116
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License Number State | TX
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