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General NPI Number Information
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NPI Number | 1538920384
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Entity Type | Individual
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Provider Name | JOSEPH MICHAEL HUGHES SUDRC #16996
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Gender | Male
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Dates
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Enumeration Date | 01/18/2024
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 3075 VEDA ST
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City | REDDING
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State | CA
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Zip | 96001-3245
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Country | US
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Telephone | 530-244-6800
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Fax | 530-244-6802
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Provider Business Mailing Address
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Address Line | PO BOX 5933
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City | CORNING
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State | CA
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Zip | 96021-5933
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Country | US
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Telephone | 530-209-7148
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 16996
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License Number State | CA
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