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General NPI Number Information
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NPI Number | 1538911573
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Entity Type | Organization
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Legal Business Name | HUFFMAN HEALTH & WELLNESS
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Dates
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Enumeration Date | 04/03/2024
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 1205 W LIMESTONE WAY
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City | FORTVILLE
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State | IN
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Zip | 46040-1394
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Country | US
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Telephone | 317-850-3929
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 W LIMESTONE WAY
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City | FORTVILLE
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State | IN
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Zip | 46040-1394
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Country | US
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Telephone | 317-505-1747
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Fax | 317-505-1747
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Authorized Official
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Title or Position | FOUNDER, CEO
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Name | KAYLA HUFFMAN
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Credential | FNP
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Telephone | 317-505-1747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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