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General NPI Number Information
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NPI Number | 1477337756
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Entity Type | Organization
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Legal Business Name | HFD LLC
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 817 SANTA FE ST.
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City | ATCHISON
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State | KS
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Zip | 66002
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Country | US
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Telephone | 913-367-7270
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Fax |
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Provider Business Mailing Address
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Address Line | 1809 CARDINAL CIR
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City | ATCHISON
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State | KS
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Zip | 66002
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Country | US
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Telephone | 952-913-8225
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | JUSTIN HUMMELGARD
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Credential |
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Telephone | 952-913-8225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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