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General NPI Number Information
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NPI Number | 1861713000
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Entity Type | Individual
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Provider Name | STEPHEN J HUFFAKER MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 450 BROADWAY ST STANFORD UNIVERSITY SCHOOL OF MEDICINE, DEPT OF ORTHO
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City | REDWOOD CITY
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State | CA
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Zip | 94063-3132
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Country | US
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Telephone | 650-721-7629
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Fax | 650-721-3470
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Provider Business Mailing Address
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Address Line | 450 BROADWAY ST STANFORD UNIVERSITY SCHOOL OF MEDICINE, DEPT OF ORTHO
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City | REDWOOD CITY
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State | CA
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Zip | 94063-3132
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Country | US
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Telephone | 650-721-7629
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Fax | 650-721-3470
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | A135749
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A135749
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License Number State | CA
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