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NPI 1023022126

NPI 1023022126 : DAVID BRUCE HUGHES LCSW : WILMINGTON, NC

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General NPI Number Information
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    NPI Number           |    1023022126
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID BRUCE HUGHES LCSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/27/2006
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    Last Update Date     |    05/01/2023
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Provider Practice Location Address
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    Address Line         |    3333 WRIGHTSVILLE AVE STE G112 
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    City                 |    WILMINGTON
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    State                |    NC
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    Zip                  |    28403-4115
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    Country              |    US
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    Telephone            |    480-613-3817
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1418 BROOKSIDE GARDENS DR 
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    City                 |    WILMINGTON
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    State                |    NC
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    Zip                  |    28411-7420
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    Country              |    US
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    Telephone            |    804-301-5910
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    2009006272
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    License Number State |    MO
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    C013481
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    License Number State |    NC
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