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General NPI Number Information
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NPI Number | 1821639725
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Entity Type | Individual
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Provider Name | FANTASIA HUGHES LPN
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Gender | Female
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Dates
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Enumeration Date | 10/01/2019
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 290 MERRIMACK ST STE 205
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City | LAWRENCE
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State | MA
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Zip | 01843-1783
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Country | US
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Telephone | 978-655-5349
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Fax | 888-774-6221
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Provider Business Mailing Address
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Address Line | 290 MERRIMACK ST STE 205
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City | LAWRENCE
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State | MA
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Zip | 01843-1783
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Country | US
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Telephone | 978-655-5349
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Fax | 978-655-6028
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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 | RN2356350
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License Number State | MA
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