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General NPI Number Information
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NPI Number | 1154414142
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Entity Type | Individual
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Provider Name | MICHAEL THOMAS HUGHES DDS
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 522 W FINNIE FLAT RD STE J
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City | CAMP VERDE
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State | AZ
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Zip | 86322-7265
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Country | US
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Telephone | 928-567-5249
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Fax |
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Provider Business Mailing Address
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Address Line | 60 N OLD PUMPHOUSE RD
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City | CORNVILLE
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State | AZ
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Zip | 86325-5704
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Country | US
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Telephone | 928-451-2830
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6537
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License Number State | AZ
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