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General NPI Number Information
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NPI Number | 1861748261
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Entity Type | Individual
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Provider Name | ELISE MARIE HUGHES PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/03/2012
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 14055 TOWN LOOP BLVD 300
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City | ORLANDO
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State | FL
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Zip | 32837-6105
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Country | US
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Telephone | 405-857-6285
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Fax |
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Provider Business Mailing Address
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Address Line | 1952 LAZY OAKS LOOP
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City | SAINT CLOUD
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State | FL
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Zip | 34771-7640
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Country | US
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Telephone | 863-599-0746
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 4586
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 31774
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License Number State | FL
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