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General NPI Number Information
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NPI Number | 1821621830
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Entity Type | Individual
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Provider Name | LEORA SHARON HUGHES LMT
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Gender | Female
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Dates
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Enumeration Date | 02/18/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 2065 S. CENTER ROAD
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City | BURTON
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State | MI
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Zip | 48519
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Country | US
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Telephone | 810-337-9594
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Fax | 810-835-4595
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Provider Business Mailing Address
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Address Line | 1417 LINWOOD AVE
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City | FLINT
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State | MI
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Zip | 48503-5315
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Country | US
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Telephone | 940-867-4215
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 7501011907
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License Number State | MI
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