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General NPI Number Information
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NPI Number | 1750445805
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Entity Type | Individual
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Provider Name | GUY GORDON HUSTON D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 01/11/2026
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Provider Practice Location Address
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Address Line | 18001 N 79TH AVE SUITE B 20
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City | GLENDALE
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State | AZ
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Zip | 85308-8388
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Country | US
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Telephone | 623-776-9300
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Fax | 623-776-9210
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Provider Business Mailing Address
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Address Line | 18001 N 79TH AVE SUITE B 20
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City | GLENDALE
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State | AZ
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Zip | 85308-8388
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Country | US
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Telephone | 623-776-9300
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Fax | 623-776-9210
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6093
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License Number State | AZ
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