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General NPI Number Information
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NPI Number | 1881091684
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Entity Type | Organization
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Legal Business Name | D.SCOTT HUGHES CENTER FOR COUNSELING AND REHAB
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Dates
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Enumeration Date | 11/24/2014
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 1501-C SOUTH WHEELER
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City | JASPER
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State | TX
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Zip | 75951
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Country | US
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Telephone | 409-622-9252
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Fax |
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Provider Business Mailing Address
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Address Line | 1501-C SOUTH WHEELER
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City | JASPER
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State | TX
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Zip | 75951
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Country | US
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Telephone | 409-622-9252
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | COURTNEY MICHELLE LOTT
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Credential |
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Telephone | 409-622-9252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 3801-3802
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 3801-3802
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License Number State | TX
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