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General NPI Number Information
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NPI Number | 1568872745
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Entity Type | Individual
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Provider Name | JONATHAN DANIEL HUGHES M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/28/2014
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Last Update Date | 04/28/2014
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Provider Practice Location Address
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Address Line | 2401 S 31ST ST
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City | TEMPLE
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State | TX
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Zip | 76508-0001
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Country | US
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Telephone | 719-659-3209
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Fax |
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Provider Business Mailing Address
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Address Line | 6259 CYPRESS CIR
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City | SAN ANTONIO
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State | TX
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Zip | 78240-2613
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Country | US
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Telephone | 719-659-3209
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | BP10050857
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License Number State | TX
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