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General NPI Number Information
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NPI Number | 1417005943
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Entity Type | Individual
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Provider Name | CALVIN WILLIS HUFF D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 08/05/2014
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Provider Practice Location Address
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Address Line | 3059 LAWRENCEVILLE HWY STE. D
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-6426
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Country | US
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Telephone | 770-931-9996
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Fax | 706-839-1634
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Provider Business Mailing Address
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Address Line | 427 GOLDEN DELICIOUS RD
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City | CLARKESVILLE
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State | GA
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Zip | 30523-1386
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Country | US
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Telephone | 706-839-1636
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Fax | 706-839-1634
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN008991
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License Number State | GA
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