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General NPI Number Information
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NPI Number | 1659153377
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Entity Type | Individual
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Provider Name | MADISON ANNE HUFFMAN DDS
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Gender | Female
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Dates
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Enumeration Date | 10/17/2023
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 2190 US HIGHWAY 27 N
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City | SEBRING
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State | FL
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Zip | 33870-1861
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Country | US
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Telephone | 863-657-0395
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Fax |
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Provider Business Mailing Address
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Address Line | 3493 OAK KNOLL PT
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City | LAKE MARY
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State | FL
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Zip | 32746-5208
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Country | US
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Telephone | 407-375-2039
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Fax |
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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 | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DN29645
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License Number State | FL
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