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General NPI Number Information
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NPI Number | 1366579245
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Entity Type | Individual
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Provider Name | MARK A HUUN M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | 1515 WAZEE ST SUITE D
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City | DENVER
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State | CO
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Zip | 80202-1478
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Country | US
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Telephone | 303-534-9550
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Fax | 720-932-7805
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Provider Business Mailing Address
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Address Line | 4900 S MONACO ST #210
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City | DENVER
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State | CO
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Zip | 80237-3486
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Country | US
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Telephone | 303-534-9550
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Fax | 720-932-7805
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 30960
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License Number State | CO
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