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General NPI Number Information
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NPI Number | 1033473772
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Entity Type | Individual
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Provider Name | SHAWN GERARD HUGHES D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2012
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Last Update Date | 06/14/2018
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Provider Practice Location Address
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Address Line | 999 MAR WALT DR
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547
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Country | US
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Telephone | 850-863-8182
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Fax | 850-863-9614
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Provider Business Mailing Address
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Address Line | 1005 MAR WALT DRIVE
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-6796
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Country | US
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Telephone | 850-863-8182
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Fax | 850-863-9614
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | OS14379
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License Number State | FL
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