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General NPI Number Information
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NPI Number | 1285457689
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Entity Type | Individual
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Provider Name | TOREY JARIEL HUGHES
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Gender | Male
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 44443 10TH ST W
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City | LANCASTER
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State | CA
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Zip | 93534-3346
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Country | US
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Telephone | 661-726-2630
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Fax |
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Provider Business Mailing Address
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Address Line | 43759 15TH ST W # 517
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City | LANCASTER
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State | CA
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Zip | 93534-4754
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Country | US
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Telephone | 661-492-0627
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | R1418770324
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License Number State | CA
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