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General NPI Number Information
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NPI Number | 1942206172
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Entity Type | Individual
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Provider Name | FRED E HUSS D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 908 W ARGYLE ST
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City | CHICAGO
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State | IL
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Zip | 60640-3806
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Country | US
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Telephone | 773-991-3338
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Fax | 773-368-8757
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Provider Business Mailing Address
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Address Line | 2815 W GREENLEAF AVE
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City | CHICAGO
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State | IL
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Zip | 60645-2913
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Country | US
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Telephone | 773-991-3338
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Fax | 773-338-8757
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 016003004
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License Number State | IL
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