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General NPI Number Information
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NPI Number | 1376673152
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Entity Type | Individual
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Provider Name | CARROLL HUGHES DDS
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/03/2022
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Provider Practice Location Address
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Address Line | 841 MOHAWK ST STE 130
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1506
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Country | US
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Telephone | 661-835-7389
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Fax | 661-835-7389
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Provider Business Mailing Address
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Address Line | 841 MOHAWK ST STE 130
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1506
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Country | US
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Telephone | 661-835-7389
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Fax | 661-835-0317
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 31072
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License Number State | CA
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