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General NPI Number Information
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NPI Number | 1164812434
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Entity Type | Individual
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Provider Name | MADISON HUGHES OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 3720 CHURCH ROCK ST
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City | GALLUP
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State | NM
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Zip | 87301-4572
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Country | US
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Telephone | 316-214-4542
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Fax |
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Provider Business Mailing Address
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Address Line | 105 MULBERRY ST
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City | COTTONWOOD FALLS
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State | KS
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Zip | 66845-9757
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Country | US
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Telephone | 316-214-4542
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | T-04097
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT02273
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT-2024-0183
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT009044
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 17-03512
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License Number State | KS
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Taxonomy #6
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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