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General NPI Number Information
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NPI Number | 1104435809
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Entity Type | Individual
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Provider Name | CALEB TERENCE HUGHES
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Gender | Male
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Dates
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Enumeration Date | 07/28/2020
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 10060 NE EVERGREEN PKWY
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City | HILLSBORO
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State | OR
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Zip | 97124-6448
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Country | US
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Telephone | 800-813-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 17182 SW WHITLEY WAY
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City | BEAVERTON
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State | OR
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Zip | 97006-8061
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Country | US
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Telephone | 541-805-9076
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C5367
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License Number State | OR
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