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General NPI Number Information
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NPI Number | 1770142283
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Entity Type | Individual
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Provider Name | CALIE JADE HUDSON DMD
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Gender | Female
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Dates
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Enumeration Date | 06/08/2019
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 2908 AUBURN RD
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City | HUNTINGTON
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State | WV
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Zip | 25704-2715
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Country | US
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Telephone | 304-781-5800
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Fax | 304-781-5804
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Provider Business Mailing Address
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Address Line | PO BOX 1680
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City | HUNTINGTON
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State | WV
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Zip | 25717-1680
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Country | US
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Telephone | 304-697-1396
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Fax | 304-697-2086
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4809
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License Number State | WV
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