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General NPI Number Information
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NPI Number | 1699753665
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Entity Type | Individual
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Provider Name | CHARLES RODGER HUGHES M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 08/30/2012
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Provider Practice Location Address
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Address Line | 12401 WASHINGTON BLVD
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City | WHITTIER
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State | CA
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Zip | 90602-1006
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Country | US
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Telephone | 562-698-0811
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Fax |
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Provider Business Mailing Address
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Address Line | 20 EXECUTIVE PARK STE 155
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City | IRVINE
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State | CA
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Zip | 92614-4733
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Country | US
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Telephone | 949-263-8620
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Fax | 800-409-7005
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 8228
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G82197
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License Number State | CA
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