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General NPI Number Information
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NPI Number | 1164566915
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Entity Type | Individual
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Provider Name | PHYLLIS E HUGHES NP
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1114 GOFFLE RD
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City | HAWTHORNE
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State | NJ
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Zip | 07506-2014
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Country | US
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Telephone | 973-427-7676
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Fax | 973-427-7476
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Provider Business Mailing Address
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Address Line | 90 PHELPS AVE
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City | BERGENFIELD
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State | NJ
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Zip | 07621-1312
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Country | US
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Telephone | 973-427-7676
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Fax | 973-427-7476
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NN04244200
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License Number State | NJ
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