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General NPI Number Information
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NPI Number | 1669563375
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Entity Type | Organization
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Legal Business Name | MCHUGH SERVICES LLC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 09/15/2009
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Provider Practice Location Address
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Address Line | 1909 VICKI LN SUITE 105
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City | NORFOLK
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State | NE
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Zip | 68701-4542
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Country | US
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Telephone | 402-379-3777
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Fax | 402-379-3793
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Provider Business Mailing Address
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Address Line | 1909 VICKI LN SUITE 105
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City | NORFOLK
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State | NE
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Zip | 68701-4542
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Country | US
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Telephone | 402-379-3777
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Fax | 402-379-3793
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRAD ROBERT MCHUGH
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Credential | ATC
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Telephone | 402-379-3777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 001-009851178
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License Number State | NE
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