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General NPI Number Information
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NPI Number | 1487659272
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Entity Type | Individual
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Provider Name | KENT ALAN HUFFORD M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 521 N WILMA AVE STE A
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City | RIPON
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State | CA
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Zip | 95366-9003
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Country | US
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Telephone | 209-599-4212
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Fax | 209-599-7348
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Provider Business Mailing Address
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Address Line | 450 GLASS LN STE C
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City | MODESTO
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State | CA
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Zip | 95356-9287
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Country | US
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Telephone | 209-342-2300
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Fax | 209-524-4240
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G689480
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License Number State | CA
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