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General NPI Number Information
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NPI Number | 1770750929
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Entity Type | Organization
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Legal Business Name | WALLACE L HUFF DDS
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 3708 S MAIN ST
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City | BLACKSBURG
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State | VA
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Zip | 24060-7007
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Country | US
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Telephone | 540-552-4781
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Fax | 540-951-5037
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Provider Business Mailing Address
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Address Line | 3708 SOUTH MAIN ST
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City | BLACKSBURG
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State | VA
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Zip | 24060
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Country | US
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Telephone | 540-951-2961
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Fax | 540-951-5037
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Authorized Official
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Title or Position | OWNER
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Name | DR. WALLACE L. HUFF
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Credential |
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Telephone | 540-552-4781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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