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General NPI Number Information
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NPI Number | 1306145222
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Entity Type | Organization
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Legal Business Name | CHRIS D HUGHES, DMD, PA
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Dates
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Enumeration Date | 03/17/2011
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Last Update Date | 03/17/2011
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Provider Practice Location Address
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Address Line | 403 CLINTON PKWY
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City | CLINTON
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State | MS
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Zip | 39056-4011
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Country | US
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Telephone | 601-926-4647
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Fax | 601-926-4649
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Provider Business Mailing Address
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Address Line | 403 CLINTON PKWY
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City | CLINTON
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State | MS
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Zip | 39056-4011
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Country | US
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Telephone | 601-926-4647
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Fax | 601-926-4649
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Authorized Official
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Title or Position | CEO
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Name | CHRIS D HUGHES
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Credential | DMD
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Telephone | 601-926-4647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 2949
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License Number State | MS
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