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General NPI Number Information
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NPI Number | 1467632133
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Entity Type | Organization
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Legal Business Name | W. MICHAEL HUGHES M.D.
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Dates
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Enumeration Date | 11/09/2007
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Last Update Date | 11/08/2013
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Provider Practice Location Address
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Address Line | 6503 DIXIE HWY
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City | LOUISVILLE
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State | KY
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Zip | 40258-3907
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Country | US
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Telephone | 502-447-4864
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Fax | 502-449-4505
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Provider Business Mailing Address
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Address Line | 6503 DIXIE HIGHWAY
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City | LOUISVILLE
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State | KY
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Zip | 40258-3097
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Country | US
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Telephone | 502-447-4864
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Fax | 502-449-4505
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Authorized Official
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Title or Position | PHYSICIAN/ OWNER
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Name | WILLIAM MICHAEL HUGHES
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Credential | M.D.
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Telephone | 502-447-4864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 22350
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License Number State | KY
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