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NPI 1891951521

NPI 1891951521 : ZACHARY HUGO M.D. : PRAIRIE VILLAGE, KS

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General NPI Number Information
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    NPI Number           |    1891951521
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    Entity Type          |    Individual 
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    Provider Name        |    ZACHARY HUGO M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/01/2008
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    Last Update Date     |    07/29/2014
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Provider Practice Location Address
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    Address Line         |    8201 MISSION RD STE 261 
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    City                 |    PRAIRIE VILLAGE
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    State                |    KS
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    Zip                  |    66208-5214
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    Country              |    US
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    Telephone            |    913-649-0923
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    Fax                  |    913-649-0990
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Provider Business Mailing Address
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    Address Line         |    8201 MISSION RD STE 261 
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    City                 |    PRAIRIE VILLAGE
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    State                |    KS
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    Zip                  |    66208-5214
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    Country              |    US
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    Telephone            |    913-649-0923
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    Fax                  |    913-649-0990
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    51945
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    License Number State |    MN
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    04-35743
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    License Number State |    KS
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