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General NPI Number Information
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NPI Number | 1356029839
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Entity Type | Individual
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Provider Name | MS. MAELYNN HUHN
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Gender | Female
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Dates
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Enumeration Date | 07/06/2023
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 4873 BURRWOOD ST SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-3769
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Country | US
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Telephone | 616-900-5001
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Fax |
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Provider Business Mailing Address
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Address Line | 4087 LYONS RD
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City | LYONS
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State | MI
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Zip | 48851-8636
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Country | US
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Telephone |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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