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General NPI Number Information
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NPI Number | 1447731898
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Entity Type | Individual
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Provider Name | ANYA LEIGH HUSKA CPHT
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Gender | Female
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 08/23/2018
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Provider Practice Location Address
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Address Line | 452 E 14TH AVE
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City | POST FALLS
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State | ID
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Zip | 83854-7633
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Country | US
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Telephone | 208-659-3681
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Fax |
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Provider Business Mailing Address
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Address Line | 706 E SELTICE WAY
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City | POST FALLS
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State | ID
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Zip | 83854-8674
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Country | US
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Telephone | 208-777-4071
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Fax | 208-773-0913
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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 | 208U00000X
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Taxonomy Name | Clinical Pharmacology Physician
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License Number | CT38656
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License Number State | ID
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