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General NPI Number Information
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NPI Number | 1356791982
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Entity Type | Individual
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Provider Name | TRENTON J HUGHES APRN
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Gender | Male
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Dates
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Enumeration Date | 06/14/2016
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 2024 15TH STREET 5TH FLOOR, MEDICAL TOWER I
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City | MERIDIAN
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State | MS
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Zip | 39301
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Country | US
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Telephone | 601-553-6399
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Fax | 601-703-8398
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Provider Business Mailing Address
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Address Line | 350 N HUMPHREYS BLVD
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City | MEMPHIS
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State | TN
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Zip | 38120-2177
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Country | US
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Telephone | 901-227-8693
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Fax | 901-227-8591
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 901551
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License Number State | MS
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