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General NPI Number Information
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NPI Number | 1619047958
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Entity Type | Individual
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Provider Name | REGINALD DOUGLAS HUGHES M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 13303 JAMAICA AVE
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City | JAMAICA
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State | NY
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Zip | 11418-2618
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Country | US
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Telephone | 718-657-7093
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Fax | 718-558-5314
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Provider Business Mailing Address
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Address Line | 12035 142ND ST
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City | JAMAICA
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State | NY
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Zip | 11436-1412
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Country | US
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Telephone | 917-862-2864
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Fax | 866-223-7072
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 218738
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License Number State | NY
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