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NPI 1538146337

NPI 1538146337 : DANA E HUSKEY MD : GREENBRAE, CA

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General NPI Number Information
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    NPI Number           |    1538146337
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    Entity Type          |    Individual 
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    Provider Name        |    DANA E HUSKEY MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/22/2005
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    Last Update Date     |    10/31/2023
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Provider Practice Location Address
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    Address Line         |    250 BON AIR RD 
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    City                 |    GREENBRAE
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    State                |    CA
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    Zip                  |    94904-1702
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    Country              |    US
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    Telephone            |    415-925-7591
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    Fax                  |    415-925-7604
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Provider Business Mailing Address
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    Address Line         |    250 BON AIR RD 
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    City                 |    GREENBRAE
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    State                |    CA
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    Zip                  |    94904-1702
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    Country              |    US
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    Telephone            |    415-925-7591
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    Fax                  |    415-925-7604
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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        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    01051143A
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    License Number State |    IN
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Taxonomy #2
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    Taxonomy Code        |    207VG0400X
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    Taxonomy Name        |    Gynecology Physician
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    License Number       |    01051143A
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    License Number State |    IN
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Taxonomy #3
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    A99128
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    License Number State |    CA
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