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General NPI Number Information
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NPI Number | 1740576735
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Entity Type | Individual
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Provider Name | SID HUGO D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2011
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Last Update Date | 02/10/2016
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Provider Practice Location Address
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Address Line | 6300 NW 60TH WAY
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City | PARKLAND
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State | FL
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Zip | 33067-4422
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Country | US
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Telephone | 949-413-2821
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Fax |
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Provider Business Mailing Address
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Address Line | 41 GRANT AVE W
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City | BABYLON
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State | NY
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Zip | 11702-4101
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Country | US
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Telephone | 949-413-2821
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS13092
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License Number State | FL
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