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General NPI Number Information
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NPI Number | 1467547190
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Entity Type | Individual
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Provider Name | LAWRENCE ROBERT HUFFORD D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 09/28/2017
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Provider Practice Location Address
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Address Line | 412 MAIN ST
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City | HAMILTON
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State | OH
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Zip | 45013-4717
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Country | US
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Telephone | 513-863-8798
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Fax | 513-863-7648
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Provider Business Mailing Address
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Address Line | 4685 FOREST AVE STE C
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City | CINCINNATI
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State | OH
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Zip | 45212-3359
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Country | US
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Telephone | 513-863-8798
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Fax |
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 2238
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License Number State | OH
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