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General NPI Number Information
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NPI Number | 1639152028
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Entity Type | Individual
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Provider Name | DAVID R HUFFORD JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 01/08/2015
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Provider Practice Location Address
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Address Line | 1350 S KINGS DR
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City | CHARLOTTE
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State | NC
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Zip | 28207-2134
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Country | US
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Telephone | 704-446-1422
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Fax | 704-446-1582
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Provider Business Mailing Address
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Address Line | PO BOX 601372
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City | CHARLOTTE
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State | NC
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Zip | 28260-1372
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Country | US
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Telephone | 704-446-1422
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Fax | 704-446-1582
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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 | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | 35053021H
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 35053021
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | 2008-01617
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License Number State | NC
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