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General NPI Number Information
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NPI Number | 1376544254
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Entity Type | Individual
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Provider Name | DAVID B HUEBNER DPM
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Gender | Male
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 5210 CORPORATE CENTER CT SE STE A
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City | LACEY
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State | WA
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Zip | 98503-5952
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Country | US
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Telephone | 360-764-8293
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Fax | 360-706-2560
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Provider Business Mailing Address
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Address Line | 1610 BISHOP RD SW STE 101
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City | TUMWATER
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State | WA
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Zip | 98512-7303
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Country | US
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Telephone | 360-338-0004
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Fax | 360-515-0744
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO60211761
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 87
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License Number State | MT
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