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General NPI Number Information
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NPI Number | 1700135704
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Entity Type | Organization
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Legal Business Name | HU ENTERPRISES, INC
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 10/24/2012
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Provider Practice Location Address
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Address Line | 1301 20TH ST SUITE 460
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City | SANTA MONICA
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State | CA
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Zip | 90404-2050
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Country | US
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Telephone | 310-829-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 20TH ST SUITE 460
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City | SANTA MONICA
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State | CA
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Zip | 90404-2050
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Country | US
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Telephone | 310-829-1800
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DIANNE LAFAURIE
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Credential |
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Telephone | 818-241-4217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number | A94991
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License Number State | CA
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