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General NPI Number Information
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NPI Number | 1265754378
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Entity Type | Individual
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Provider Name | DONALD WAYNE HUGHART DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 02/17/2010
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Last Update Date | 02/17/2010
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Provider Practice Location Address
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Address Line | 121 S DAVID LN
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City | KNOXVILLE
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State | TN
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Zip | 37922-3204
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Country | US
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Telephone | 865-692-2380
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Fax | 865-692-2382
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Provider Business Mailing Address
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Address Line | PO BOX 32768
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City | KNOXVILLE
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State | TN
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Zip | 37930-2768
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Country | US
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Telephone | 865-692-2380
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Fax | 865-692-2382
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 8347
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License Number State | TN
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