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General NPI Number Information
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NPI Number | 1356600498
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Entity Type | Individual
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Provider Name | CARL DAVID HUGHES MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2012
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Last Update Date | 05/10/2012
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Provider Practice Location Address
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Address Line | 140 INDUSTRIAL LOOP STE 100 (GOOD SAMARITAN CENTER)
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City | FREDERICKSBURG
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State | TX
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Zip | 78624
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Country | US
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Telephone | 830-990-8651
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Fax |
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Provider Business Mailing Address
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Address Line | 652 MESA RD.
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City | FREDERICKSBURG
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State | TX
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Zip | 78624
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Country | US
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Telephone | 830-997-7064
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0173
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License Number State | TX
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