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General NPI Number Information
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NPI Number | 1093323164
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Entity Type | Individual
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Provider Name | HAYLEE ELIZABETH HUGHES PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/15/2020
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 200 WESTPARK WAY
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City | EULESS
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State | TX
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Zip | 76040-3963
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Country | US
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Telephone | 817-488-8998
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Fax |
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Provider Business Mailing Address
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Address Line | 2312 WEMBLEY WOOD LN
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City | BEDFORD
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State | TX
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Zip | 76022-6113
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Country | US
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Telephone | 469-834-3500
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA13710
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License Number State | TX
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