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NPI 1750580643

NPI 1750580643 : DANIEL J HUFF PODIATRY DPM PC : PROVIDENCE, UT

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General NPI Number Information
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    NPI Number           |    1750580643
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    Entity Type          |    Organization 
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    Legal Business Name  |    DANIEL J HUFF PODIATRY DPM PC 
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Dates
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    Enumeration Date     |    07/12/2007
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    Last Update Date     |    03/29/2023
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Provider Practice Location Address
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    Address Line         |    435 N GATEWAY DR STE 801 
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    City                 |    PROVIDENCE
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    State                |    UT
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    Zip                  |    84332-9004
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    Country              |    US
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    Telephone            |    435-787-1023
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    Fax                  |    435-787-1883
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Provider Business Mailing Address
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    Address Line         |    435 N GATEWAY DR STE 801 
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    City                 |    PROVIDENCE
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    State                |    UT
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    Zip                  |    84332-9004
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    Country              |    US
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    Telephone            |    435-787-1023
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    Fax                  |    435-787-1883
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DANIEL J HUFF 
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    Credential           |    DPM
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    Telephone            |    435-787-1023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207XX0004X
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    Taxonomy Name        |    Orthopaedic Foot and Ankle Surgery Physician
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    License Number       |    59497580501
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    License Number State |    UT
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Taxonomy #3
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    
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    License Number State |    
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