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General NPI Number Information
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NPI Number | 1821518168
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Entity Type | Individual
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Provider Name | TAYLOR MARIE HUFFMAN MS, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 355 FM 973
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City | TAYLOR
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State | TX
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Zip | 76574-4524
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Country | US
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Telephone | 512-352-6326
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Fax |
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Provider Business Mailing Address
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Address Line | 201 HIGHLAND DR APT 511
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City | TAYLOR
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State | TX
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Zip | 76574-1850
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Country | US
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Telephone | 210-355-3525
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Fax |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT6806
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License Number State | TX
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