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General NPI Number Information
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NPI Number | 1518086347
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Entity Type | Organization
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Legal Business Name | HUFFMAN AND HUFFMAN PSC
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 11/16/2007
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Provider Practice Location Address
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Address Line | 303 LANGDON ST
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City | SOMERSET
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State | KY
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Zip | 42503-2750
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Country | US
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Telephone | 606-679-7461
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Fax | 606-679-8202
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Provider Business Mailing Address
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Address Line | 303 LANGDON ST
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City | SOMERSET
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State | KY
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Zip | 42503-2750
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Country | US
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Telephone | 606-679-7461
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Fax | 606-679-8202
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Authorized Official
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Title or Position | CO-PRESIDENT
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Name | DR. MARK DAVID HUFFMAN
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Credential | M.D.
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Telephone | 606-679-7461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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