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General NPI Number Information
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NPI Number | 1063602456
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Entity Type | Individual
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Provider Name | LORENZO T. HUGHES SR. LMT
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Gender | Male
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 12/03/2012
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Provider Practice Location Address
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Address Line | 8908 E. 89TH STREET
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City | KANSAS CITY
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State | MO
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Zip | 64138
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Country | US
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Telephone | 816-876-9213
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Fax |
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Provider Business Mailing Address
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Address Line | 10126 W 119TH ST
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City | OVERLAND PARK
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State | KS
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Zip | 66213-1461
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Country | US
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Telephone | 913-339-9991
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 2005040446
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License Number State | MO
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