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General NPI Number Information
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NPI Number | 1790314631
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Entity Type | Individual
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Provider Name | TONI A HUGHART DNP
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Gender | Female
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Dates
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Enumeration Date | 04/03/2020
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Last Update Date | 04/03/2020
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Provider Practice Location Address
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Address Line | 6000 E STATE ST
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City | ROCKFORD
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State | IL
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Zip | 61108-2521
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Country | US
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Telephone | 815-397-3691
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Fax | 815-397-8760
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Provider Business Mailing Address
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Address Line | 333 N SUMMIT ST FL 7
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City | TOLEDO
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State | OH
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Zip | 43604-2615
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Country | US
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Telephone | 800-427-1902
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Fax | 800-564-5952
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.021119
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License Number State | IL
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