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General NPI Number Information
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NPI Number | 1013273291
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Entity Type | Organization
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Legal Business Name | JOHN F HOUGH PHD PC
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | 224 E WILLAMETTE AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-1114
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Country | US
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Telephone | 719-659-0686
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Fax | 719-448-9467
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Provider Business Mailing Address
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Address Line | 224 E WILLAMETTE AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-1114
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Country | US
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Telephone | 719-659-0686
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Fax | 719-448-9467
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN F HOUGH
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Credential | PHD
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Telephone | 719-659-0686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2100
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License Number State | CO
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