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General NPI Number Information
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NPI Number | 1497640338
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Entity Type | Individual
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Provider Name | DEBORAH HUGHES FNP-C
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Gender |
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 1240 FAIRGROUND RD STE A
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City | GRENADA
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State | MS
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Zip | 38901-4516
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Country | US
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Telephone | 662-226-3711
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Fax |
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Provider Business Mailing Address
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Address Line | 875 W GOVAN ST
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City | GRENADA
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State | MS
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Zip | 38901-3415
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Country | US
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Telephone | 662-809-0201
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 907469
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License Number State | MS
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