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General NPI Number Information
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NPI Number | 1205370095
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Entity Type | Individual
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Provider Name | CRYSTAL HUGHES
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Gender | Female
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Dates
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Enumeration Date | 12/13/2016
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 6337 OLD BRANCH AVE SHOP 37
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City | CAMP SPRINGS
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State | MD
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Zip | 20748
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Country | US
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Telephone | 866-794-4227
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Fax |
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Provider Business Mailing Address
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Address Line | 6337 OLD BRANCH AVE
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City | CAMP SPRINGS
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State | MD
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Zip | 20748
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Country | US
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Telephone | 240-817-4293
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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 | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number | 335E00000X
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License Number State | MD
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