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General NPI Number Information
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NPI Number | 1720937980
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Entity Type | Individual
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Provider Name | NANCY SERRAO HUFFAKER D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 421 WARREN STREET
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City | SYRACUSE
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State | NY
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Zip | 13202
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Country | US
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Telephone | 315-802-6741
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Fax |
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Provider Business Mailing Address
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Address Line | 9147 FRENCHMANS CREEK DRIVE
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City | PHOENIX
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State | NY
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Zip | 13135
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Country | US
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Telephone | 315-695-5758
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 042270
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License Number State | NY
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