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General NPI Number Information
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NPI Number | 1811173057
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Entity Type | Organization
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Legal Business Name | H.CLAUDE HUDSON
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | 2829 S GRAND AVE
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City | LOS ANGELES
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State | CA
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Zip | 90007-3304
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Country | US
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Telephone | 213-744-6120
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Fax |
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Provider Business Mailing Address
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Address Line | 4411 CITY TERRACE DR
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City | LOS ANGELES
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State | CA
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Zip | 90063-1008
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MISS MARTHA EMILY MURIEL
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Credential |
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Telephone | 213-744-6120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 275913
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License Number State | CA
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