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General NPI Number Information
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NPI Number | 1902040256
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Entity Type | Individual
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Provider Name | HEATHER ANN HUDSON D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/29/2009
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 169 5TH ST SE SUITE B
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City | BARBERTON
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State | OH
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Zip | 44203-9003
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Country | US
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Telephone | 330-745-7263
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Fax | 330-745-7806
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Provider Business Mailing Address
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Address Line | 1835 FRANKS PKWY
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City | UNIONTOWN
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State | OH
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Zip | 44685-6249
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Country | US
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Telephone | 330-899-2460
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Fax | 330-899-2461
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 34010364
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License Number State | OH
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