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General NPI Number Information
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NPI Number | 1275921199
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Entity Type | Organization
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Legal Business Name | ANDY HUGHES, RNFA SURGICAL FIRST ASSIST, LLC
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Dates
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Enumeration Date | 12/30/2014
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Last Update Date | 12/30/2014
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Provider Practice Location Address
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Address Line | 6404 STOCKTON DR BOX 16160 - FORT WORTH, TX 76162
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City | FORT WORTH
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State | TX
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Zip | 76132-5058
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Country | US
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Telephone | 817-913-4440
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Fax |
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Provider Business Mailing Address
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Address Line | 6404 STOCKTON DR P.O. BOX 16160 - FT.WORTH, TX 76162
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City | FORT WORTH
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State | TX
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Zip | 76132-5058
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Country | US
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Telephone | 817-913-4440
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Fax |
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Authorized Official
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Title or Position | SURGICAL FIRST ASSISTANT
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Name | MR. ANDY PAT HUGHES
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Credential | RN, BSN, CNOR, RNFA
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Telephone | 817-913-4440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 716498
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License Number State | TX
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