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General NPI Number Information
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NPI Number | 1821318262
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Entity Type | Individual
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Provider Name | BRADLEY HUGHES M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 03/24/2021
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Provider Practice Location Address
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Address Line | 14780 W MOUNTAIN VIEW BLVD SUITE 110
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City | SURPRISE
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State | AZ
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Zip | 85374-7280
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Country | US
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Telephone | 623-374-7774
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Fax |
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Provider Business Mailing Address
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Address Line | 1750 E BELL ROAD APT 166
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City | PHOENIX
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State | AZ
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Zip | 85022
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Country | US
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Telephone | 602-839-3339
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Fax | 602-495-9112
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 46945
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License Number State | AZ
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