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General NPI Number Information
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NPI Number | 1932541513
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Entity Type | Individual
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Provider Name | DAVID PAUL HUHTELIN PHARMD, BCCCP, BCEMP
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Gender | Male
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 1401 E STATE ST
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City | ROCKFORD
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State | IL
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Zip | 61104-2315
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Country | US
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Telephone | 708-955-6365
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 E STATE ST
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City | ROCKFORD
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State | IL
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Zip | 61104-2315
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 21962
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 1835C0205X
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Taxonomy Name | Critical Care Pharmacist
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License Number | 7151255
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1835E0208X
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Taxonomy Name | Emergency Medicine Pharmacist
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License Number | B14100576
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051297946
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License Number State | IL
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