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General NPI Number Information
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NPI Number | 1245623693
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Entity Type | Individual
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Provider Name | JAMIE HUG D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/10/2015
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Last Update Date | 10/13/2016
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Provider Practice Location Address
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Address Line | 4190 E. WOODMEN RD SUITE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920
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Country | US
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Telephone | 719-418-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 4190 E WOODMEN RD SUITE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-8075
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Country | US
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Telephone | 719-418-2121
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | UO3061
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0055109
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License Number State | CO
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