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General NPI Number Information
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NPI Number | 1306599220
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Entity Type | Individual
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Provider Name | MR. TIMOTHY RYAN HUGHES
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Gender | Male
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Dates
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Enumeration Date | 01/31/2022
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 9199 REISTERSTOWN RD STE 202B
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4579
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Country | US
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Telephone | 443-660-8018
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Fax |
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Provider Business Mailing Address
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Address Line | 2034 PARK AVE
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City | BALTIMORE
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State | MD
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Zip | 21217-4816
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Country | US
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Telephone | 443-603-7106
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 28180
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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