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General NPI Number Information
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NPI Number | 1770530784
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Entity Type | Individual
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Provider Name | JOHN FRANKLIN HUDDLESTON MD
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Gender | Male
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 89 W COPELAND DR 1ST FLOOR
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City | ORLANDO
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State | FL
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Zip | 32806-2028
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Country | US
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Telephone | 407-841-5281
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Fax | 407-648-9879
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Provider Business Mailing Address
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Address Line | 102 W PINELOCH AVE SUITE 23
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City | ORLANDO
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State | FL
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Zip | 32806-6100
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Country | US
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Telephone | 407-481-7174
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Fax | 407-481-7190
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | ME16041
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License Number State | FL
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