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General NPI Number Information
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NPI Number | 1215108287
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Entity Type | Organization
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Legal Business Name | GEORGE B. HUGHES MD FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 07/19/2019
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Provider Practice Location Address
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Address Line | 333 KINGSLEY RD
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City | BURNT HILLS
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State | NY
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Zip | 12027-9509
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Country | US
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Telephone | 518-370-0094
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Fax | 518-377-9258
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Provider Business Mailing Address
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Address Line | PO BOX 299
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City | BURNT HILLS
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State | NY
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Zip | 12027-0299
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Country | US
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Telephone | 518-370-0094
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Fax | 518-377-9258
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. GEORGE BERNARD HUGHES
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Credential | MD
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Telephone | 518-370-0094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 186174
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 186174NN
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License Number State | NY
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