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General NPI Number Information
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NPI Number | 1528253259
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Entity Type | Individual
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Provider Name | MICHELE LYNN HUGHES PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 09/18/2009
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Provider Practice Location Address
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Address Line | 1000 W MORENO ST
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City | PENSACOLA
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State | FL
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Zip | 32501-2316
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Country | US
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Telephone | 850-434-4011
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Fax |
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Provider Business Mailing Address
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Address Line | 5665 NEW NORTHSIDE DR NW SUITE 320
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City | ATLANTA
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State | GA
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Zip | 30328-5831
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Country | US
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Telephone | 770-874-5439
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Fax | 770-874-5438
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA 3552
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | PA3552
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License Number State | FL
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