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General NPI Number Information
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NPI Number | 1750286019
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Entity Type | Individual
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Provider Name | TRACIE LYNN HUFFMAN RN
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Gender | Female
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 3555 STATE ROUTE 792
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City | STOCKPORT
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State | OH
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Zip | 43787-9344
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Country | US
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Telephone | 740-559-2377
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Fax | 888-726-8371
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Provider Business Mailing Address
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Address Line | 1645 E CHILDS LN
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City | MCCONNELSVILLE
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State | OH
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Zip | 43756-9544
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Country | US
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Telephone | 740-221-0750
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Fax | 888-726-8371
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | RN.345924
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License Number State | OH
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