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NPI 1245287804

NPI 1245287804 : WILLIAM B HUGHES MD PC : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1245287804
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    Entity Type          |    Organization 
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    Legal Business Name  |    WILLIAM B HUGHES MD PC 
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Dates
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    Enumeration Date     |    05/28/2006
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    Last Update Date     |    01/28/2014
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Provider Practice Location Address
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    Address Line         |    3401 N BROAD ST OUTPT BLDG 5TH FLOOR
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19140-5103
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    Country              |    US
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    Telephone            |    215-952-0792
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    Fax                  |    215-950-0794
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Provider Business Mailing Address
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    Address Line         |    1421 E DRINKER STREET 
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    City                 |    DUNMORE
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    State                |    PA
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    Zip                  |    18512
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    Country              |    US
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    Telephone            |    267-235-0510
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    Fax                  |    215-707-1266
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. WILLIAM  HUGHES 
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    Credential           |    MD.
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    Telephone            |    267-235-0510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    
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    License Number State |    
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