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General NPI Number Information
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NPI Number | 1457673048
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Entity Type | Individual
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Provider Name | EMMILY DIANE HUGHES R.N.
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Gender | Female
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Dates
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Enumeration Date | 02/23/2010
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 1151 TAYLOR ST
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City | DETROIT
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State | MI
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Zip | 48202-1732
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Country | US
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Telephone | 313-876-4316
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Fax | 313-876-0177
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Provider Business Mailing Address
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Address Line | 14585 GREENFIELD RD
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City | DETROIT
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State | MI
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Zip | 48227-2231
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Country | US
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Telephone | 313-870-3087
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Fax | 313-493-6844
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704134639
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License Number State | MI
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