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General NPI Number Information
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NPI Number | 1124113105
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Entity Type | Organization
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Legal Business Name | DR. RUSSELL A. HUGHES, OPTOMETRIST, PA
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 1091 US HIGHWAY 64 WEST SUITE 2
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City | HAYESVILLE
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State | NC
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Zip | 28904-0058
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Country | US
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Telephone | 828-389-3511
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Fax | 828-389-3544
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Provider Business Mailing Address
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Address Line | PO BOX 58
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City | HAYESVILLE
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State | NC
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Zip | 28904-0058
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Country | US
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Telephone | 828-389-3511
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Fax | 828-389-3544
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. RUSSELL A. HUGHES
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Credential | OD
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Telephone | 828-389-3511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 1049
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License Number State | NC
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