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General NPI Number Information
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NPI Number | 1306835467
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Entity Type | Individual
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Provider Name | PAMELA ALLISON HUGHES DO
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Gender | Female
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 37081 COUNTY ROAD 77
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City | LAKE GEORGE
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State | CO
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Zip | 80827-9408
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Country | US
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Telephone | 307-899-7991
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Fax | 703-828-0257
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Provider Business Mailing Address
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Address Line | 37081 COUNTY ROAD 77
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City | LAKE GEORGE
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State | CO
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Zip | 80827-9408
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Country | US
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Telephone | 307-899-7991
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Fax | 703-828-0257
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 14507A
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MED-PHYS-LIC-104426
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 330345
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0102205909
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0070832
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License Number State | CO
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