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General NPI Number Information
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NPI Number | 1396129730
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Entity Type | Organization
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Legal Business Name | JAMES P HUISH DPM LLC
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 11/17/2016
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Provider Practice Location Address
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Address Line | 2270 W 16TH ST
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City | SAFFORD
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State | AZ
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Zip | 85546-4081
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Country | US
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Telephone | 928-348-3700
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Fax | 928-348-3705
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Provider Business Mailing Address
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Address Line | 2270 W 16TH ST
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City | SAFFORD
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State | AZ
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Zip | 85546-4081
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Country | US
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Telephone | 928-348-3700
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Fax | 928-348-3705
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES PATRICK HUISH
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Credential | DPM
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Telephone | 928-348-3700
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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 | 0816
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License Number State | AZ
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