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General NPI Number Information
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NPI Number | 1053835199
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Entity Type | Individual
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Provider Name | HUGO PARKER
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Gender | Male
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 07/31/2017
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Provider Practice Location Address
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Address Line | 424 SAVANNAH RD
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City | LEWES
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State | DE
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Zip | 19958-1462
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Country | US
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Telephone | 302-645-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 500 CASCADE LN
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-6500
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Country | US
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Telephone |
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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 | 163WC3500X
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Taxonomy Name | Cardiac Rehabilitation Registered Nurse
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License Number | L1-0050744
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License Number State | DE
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