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General NPI Number Information
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NPI Number | 1386978930
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Entity Type | Individual
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Provider Name | TONY F. XHUDO M.S., H.N., B.C.
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Gender | Male
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 84 N MAIN ST
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City | FLORIDA
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State | NY
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Zip | 10921-1319
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Country | US
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Telephone | 845-508-6302
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Fax | 845-508-6302
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Provider Business Mailing Address
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Address Line | 84 N MAIN ST
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City | FLORIDA
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State | NY
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Zip | 10921-1319
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Country | US
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Telephone | 845-508-6302
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Fax | 845-508-6302
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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 | 173C00000X
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Taxonomy Name | Reflexologist
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License Number | 20090065764
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 20090065764
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number | 20090065764
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License Number State | NY
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