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General NPI Number Information
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NPI Number | 1275643561
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Entity Type | Individual
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Provider Name | MARY DENISE HUGHES MD
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 52 BEAR DR
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City | GREENVILLE
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State | SC
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Zip | 29605-4458
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Country | US
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Telephone | 864-655-4005
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Fax | 864-655-4004
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Provider Business Mailing Address
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Address Line | PO BOX 24217
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City | GREENVILLE
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State | SC
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Zip | 29616-4217
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Country | US
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Telephone | 864-421-4898
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Fax | 864-655-4004
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 042614
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 30585
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License Number State | SC
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