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General NPI Number Information
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NPI Number | 1710640313
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Entity Type | Individual
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Provider Name | JEFFERSON PATRICK HUOT MSN, FNP
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Gender | Male
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Dates
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Enumeration Date | 10/20/2021
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Last Update Date | 09/08/2024
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Provider Practice Location Address
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Address Line | 2615 CHESTER AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2014
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Country | US
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Telephone | 661-863-3260
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Fax |
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Provider Business Mailing Address
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Address Line | 11121 TRENTADUE DR
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City | BAKERSFIELD
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State | CA
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Zip | 93312-6733
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Country | US
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Telephone | 661-865-3314
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95021236
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License Number State | CA
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