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General NPI Number Information
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NPI Number | 1124295159
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Entity Type | Individual
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Provider Name | SANDRA JEAN HUGHES M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 04/28/2021
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Provider Practice Location Address
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Address Line | 115 MAIN ST STE 301
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City | TUCKAHOE
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State | NY
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Zip | 10707-2949
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Country | US
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Telephone | 914-771-7070
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Fax | 914-771-7073
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Provider Business Mailing Address
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Address Line | 90 N GRANT AVE
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City | CONGERS
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State | NY
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Zip | 10920-1935
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Country | US
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Telephone | 910-393-9190
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 249465
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License Number State | NY
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