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General NPI Number Information
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NPI Number | 1467570598
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Entity Type | Organization
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Legal Business Name | GERALD HUG M A CCC-A & ASSOCIATES INC
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 05/04/2010
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Provider Practice Location Address
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Address Line | 705 S MAIN ST SUITE101
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City | PLYMOUTH
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State | MI
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Zip | 48170-2089
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Country | US
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Telephone | 734-451-0800
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Fax | 734-451-0813
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Provider Business Mailing Address
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Address Line | 705 SOUTH MAIN STREET SUITE101
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City | PLYMOUTH
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State | MI
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Zip | 48170-1738
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Country | US
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Telephone | 734-451-0800
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Fax | 734-451-0813
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GERALD AUGUST HUG JR.
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Credential | MA, CCC-A
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Telephone | 734-451-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 1601000233
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License Number State | MI
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