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General NPI Number Information
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NPI Number | 1902317886
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Entity Type | Individual
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Provider Name | GEOFFREY FULTON HUGHES FNP-C
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Gender | Male
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Dates
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Enumeration Date | 10/18/2017
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 8300 N LAMAR BLVD STE 200A
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City | AUSTIN
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State | TX
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Zip | 78753-5976
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Country | US
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Telephone | 512-222-8868
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Fax |
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Provider Business Mailing Address
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Address Line | 14901 MISTLETOE HEIGHTS DR
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City | AUSTIN
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State | TX
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Zip | 78717-4490
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Country | US
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Telephone | 512-961-9353
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 723702
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 135289
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License Number State | TX
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