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General NPI Number Information
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NPI Number | 1295966083
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Entity Type | Organization
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Legal Business Name | MEDICAL HOUSE CALLS BY DAN HUGHES-FNP LLC
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 1505 NW PROSPECT AVE
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City | GRANTS PASS
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State | OR
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Zip | 97526-1007
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Country | US
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Telephone | 541-441-3095
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Fax | 541-476-8157
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Provider Business Mailing Address
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Address Line | 106 NW F ST SUITE 209
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City | GRANTS PASS
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State | OR
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Zip | 97526-2012
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Country | US
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Telephone | 541-441-3095
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Fax | 541-476-8157
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Authorized Official
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Title or Position | FNP
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Name | MR. DANIEL J HUGHES
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Credential |
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Telephone | 541-441-3095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 091006311
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License Number State | OR
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