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General NPI Number Information
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NPI Number | 1063970515
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Entity Type | Individual
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Provider Name | WILLIAM MICHAEL HUGHES LCSW
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Gender | Male
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 03/04/2019
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Provider Practice Location Address
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Address Line | 380 LEXINGTON AVE STE 1713
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City | NEW YORK
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State | NY
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Zip | 10168-0002
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Country | US
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Telephone | 917-653-5420
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Fax |
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Provider Business Mailing Address
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Address Line | 129 JEWEL ST APT 2R
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City | BROOKLYN
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State | NY
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Zip | 11222-3023
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Country | US
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Telephone | 917-653-5420
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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 | 082619
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License Number State | NY
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