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General NPI Number Information
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NPI Number | 1528174893
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Entity Type | Individual
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Provider Name | MARK J HUGHES D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/18/2011
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Provider Practice Location Address
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Address Line | 645 NW 4TH
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City | REDMOND
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State | OR
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Zip | 97756
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Country | US
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Telephone | 541-923-0119
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Fax | 541-923-3228
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Provider Business Mailing Address
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Address Line | PO BOX 460
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City | REDMOND
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State | OR
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Zip | 97756
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Country | US
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Telephone | 541-923-0119
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Fax | 541-923-3228
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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 | 207PT0002X
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Taxonomy Name | Medical Toxicology (Emergency Medicine) Physician
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License Number | OS0009532
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO27544
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License Number State | OR
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