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General NPI Number Information
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NPI Number | 1114344975
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Entity Type | Individual
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Provider Name | ANTHONY JAMES HUGHES LCPC
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Gender | Male
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Dates
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Enumeration Date | 03/18/2014
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Last Update Date | 10/31/2019
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Provider Practice Location Address
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Address Line | 902 W MAIN ST
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City | WEST FRANKFORT
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State | IL
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Zip | 62896-2210
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Country | US
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Telephone | 618-937-6483
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Fax | 618-937-1440
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Provider Business Mailing Address
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Address Line | 604 N ASH STREET UNIT 4
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City | SANDWICH
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State | IL
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Zip | 65048
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Country | US
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Telephone | 618-218-9095
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.009900
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License Number State | IL
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