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General NPI Number Information
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NPI Number | 1770898561
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Entity Type | Individual
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Provider Name | MICHAEL JOSEPH HUGHES M.O.T.
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Gender | Male
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Dates
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Enumeration Date | 08/17/2010
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 2301 YALE BLVD SE STE A3
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4350
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Country | US
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Telephone | 505-385-8028
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Fax | 505-323-2459
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Provider Business Mailing Address
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Address Line | 25115 GLACIER HWY
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City | JUNEAU
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State | AK
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Zip | 99801-8106
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Country | US
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Telephone | 505-377-4733
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Fax | 855-254-6287
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2285
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License Number State | NM
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