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General NPI Number Information
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NPI Number | 1891817466
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Entity Type | Individual
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Provider Name | SAM HUSTIS
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Gender | Male
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 365 KUCK LN
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City | PETALUMA
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State | CA
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Zip | 94952-9606
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Country | US
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Telephone | 510-725-7963
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Fax |
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Provider Business Mailing Address
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Address Line | 4545 REINHARDT DR
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City | OAKLAND
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State | CA
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Zip | 94619-2970
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Country | US
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Telephone | 510-482-2137
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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