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General NPI Number Information
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NPI Number | 1750559068
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Entity Type | Organization
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Legal Business Name | J JEFFREY HUGHES OD
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 2855 NORTHPARK AVE STE 104
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City | HUNTINGTON
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State | IN
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Zip | 46750-9736
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Country | US
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Telephone | 260-356-6422
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Fax | 260-356-6423
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Provider Business Mailing Address
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Address Line | 2855 NORTHPARK AVE STE 104
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City | HUNTINGTON
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State | IN
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Zip | 46750-9736
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Country | US
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Telephone | 260-356-6422
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Fax | 260-356-6423
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Authorized Official
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Title or Position | OWNER
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Name | DR. J JEFFREY HUGHES
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Credential | OD
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Telephone | 260-356-6422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 18002003B
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18002003B
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License Number State | IN
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