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General NPI Number Information
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NPI Number | 1043324957
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Entity Type | Individual
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Provider Name | JOHN ROBERT HUGHES SR. NPC
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Gender | Male
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2495 SHREVEPORT HIGHWAY
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City | PINEVILLE
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State | LA
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Zip | 71301
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Country | US
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Telephone | 318-473-0010
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Fax | 318-473-2501
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Provider Business Mailing Address
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Address Line | 225 GOLDEN LEAF LN
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City | PINEVILLE
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State | LA
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Zip | 71360-9764
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Country | US
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Telephone | 318-466-2000
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Fax | 318-466-2000
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APO4224
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License Number State | LA
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