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General NPI Number Information
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NPI Number | 1437630134
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Entity Type | Individual
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Provider Name | JEREMY RYAN HUGHES RN
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Gender | Male
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 2951 MAPLE AVE
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City | ZANESVILLE
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State | OH
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Zip | 43701-1406
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Country | US
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Telephone | 614-398-2777
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Fax |
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Provider Business Mailing Address
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Address Line | 10787 WATKINS RD SW
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City | PATASKALA
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State | OH
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Zip | 43062-8641
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Country | US
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Telephone | 614-398-2777
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN.CRNA.019746
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.391516
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License Number State | OH
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