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General NPI Number Information
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NPI Number | 1811539729
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Entity Type | Individual
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Provider Name | KELLY HUGHES SLP
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Gender | Female
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Dates
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Enumeration Date | 10/11/2019
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 14016 BOYDTON PLANK RD
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City | DINWIDDIE
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State | VA
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Zip | 23841-2500
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Country | US
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Telephone | 804-469-4190
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Fax |
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Provider Business Mailing Address
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Address Line | 5816 TROY LN
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City | SUTHERLAND
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State | VA
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Zip | 23885-9409
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Country | US
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Telephone | 804-922-6728
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202007386
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License Number State | VA
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