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General NPI Number Information
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NPI Number | 1013111889
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Entity Type | Individual
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Provider Name | MATTHEW ROBERT HUGHES M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 6130 W PARKER RD STE 112
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City | PLANO
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State | TX
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Zip | 75093-7918
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Country | US
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Telephone | 469-229-7479
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Fax | 866-644-6804
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Provider Business Mailing Address
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Address Line | 1732 BLUFFVIEW LN
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City | CARROLLTON
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State | TX
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Zip | 75007-1426
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Country | US
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Telephone | 972-210-9952
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | TRN#11220
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | P4065
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License Number State | TX
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