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General NPI Number Information
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NPI Number | 1689651788
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Entity Type | Organization
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Legal Business Name | RICKY SCOTT HUDSON
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 05/20/2010
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Provider Practice Location Address
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Address Line | 4659 EVERHART RD SUITE 214
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-2735
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Country | US
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Telephone | 361-980-8080
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Fax | 361-980-8082
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Provider Business Mailing Address
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Address Line | PO BOX 271456
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City | CORPUS CHRISTI
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State | TX
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Zip | 78427-1456
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Country | US
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Telephone | 361-980-8080
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Fax | 361-980-8082
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Authorized Official
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Title or Position | MANAGER
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Name | JANET HUDSON
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Credential |
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Telephone | 361-980-8080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0077002
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License Number State | TX
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