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General NPI Number Information
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NPI Number | 1750670758
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Entity Type | Individual
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Provider Name | JEREMY HUGHES D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2011
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Last Update Date | 05/15/2016
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Provider Practice Location Address
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Address Line | 185 FRONT ST SUITE 107
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City | DANVILLE
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State | CA
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Zip | 94526-3331
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Country | US
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Telephone | 925-838-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 185 FRONT ST SUITE 107
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City | DANVILLE
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State | CA
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Zip | 94526-3331
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Country | US
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Telephone | 925-838-9355
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 31912
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License Number State | CA
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