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General NPI Number Information
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NPI Number | 1467962514
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Entity Type | Individual
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Provider Name | STEPHANIE KAY HUSTON N.M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/03/2017
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 44725 N 14TH ST
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City | NEW RIVER
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State | AZ
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Zip | 85087-6530
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Country | US
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Telephone | 602-920-9614
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Fax |
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Provider Business Mailing Address
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Address Line | 44725 N. 14TH ST.
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City | NEW RIVER
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State | AZ
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Zip | 85087
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Country | US
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Telephone | 602-920-9614
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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 | 175L00000X
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Taxonomy Name | Homeopath
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License Number | 17-1637
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License Number State | AZ
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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 | 17-1637
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License Number State | AZ
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