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General NPI Number Information
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NPI Number | 1548444797
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Entity Type | Organization
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Legal Business Name | LEONARD HUGHES CO INC
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Dates
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Enumeration Date | 12/24/2007
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Last Update Date | 01/21/2015
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Provider Practice Location Address
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Address Line | 11339 HWY 21
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City | HILLSBORO
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State | MO
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Zip | 63050
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Country | US
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Telephone | 636-586-7770
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Fax | 636-586-7768
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Provider Business Mailing Address
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Address Line | 11339 HWY 21 PO BOX 736
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City | HILLSBORO
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State | MO
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Zip | 63050
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Country | US
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Telephone | 636-586-7770
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Fax | 636-586-7768
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MARSHA DAWN BECKHAM
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Credential | OD
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Telephone | 636-586-7770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State | MO
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