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General NPI Number Information
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NPI Number | 1598781858
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Entity Type | Individual
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Provider Name | RAYMOND LAVERNE HUGGER L.I.S.W.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4100 W 3RD ST
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City | DAYTON
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State | OH
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Zip | 45428-9000
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Country | US
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Telephone | 937-268-6511
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Fax | 937-267-3924
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Provider Business Mailing Address
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Address Line | 2201 BELLSBURG DR
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City | DAYTON
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State | OH
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Zip | 45459-3523
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Country | US
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Telephone | 937-268-6511
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Fax | 937-267-3924
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I-0006008
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License Number State | OH
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