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General NPI Number Information
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NPI Number | 1922594514
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Entity Type | Individual
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Provider Name | HEATHER JO HUFFMAN FNP
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Gender | Female
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Dates
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Enumeration Date | 07/06/2018
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Last Update Date | 07/31/2018
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Provider Practice Location Address
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Address Line | 401 N EWING ST
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City | LANCASTER
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State | OH
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Zip | 43130
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Country | US
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Telephone | 740-687-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 20515 STATE ROUTE 664 S
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City | LOGAN
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State | OH
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Zip | 43138-8526
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Country | US
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Telephone | 740-279-9580
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.297246
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.023349
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License Number State | OH
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