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General NPI Number Information
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NPI Number | 1629631239
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Entity Type | Organization
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Legal Business Name | MARY ELIZABETH STARNES HUFFMAN DDS PA
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Dates
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Enumeration Date | 04/18/2019
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Last Update Date | 04/18/2019
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Provider Practice Location Address
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Address Line | 167 1ST AVE SW
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City | TAYLORSVILLE
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State | NC
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Zip | 28681-2639
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Country | US
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Telephone | 828-632-7008
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Fax |
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Provider Business Mailing Address
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Address Line | 167 1ST AVE SW
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City | TAYLORSVILLE
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State | NC
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Zip | 28681-2639
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Country | US
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Telephone | 828-632-7008
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Fax |
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Authorized Official
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Title or Position | DDS
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Name | MARY E. STARNES HUFFMAN
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Credential | DDS
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Telephone | 828-632-7008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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