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General NPI Number Information
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NPI Number | 1942690656
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Entity Type | Organization
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Legal Business Name | HUGHES THERAPY 1
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Dates
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Enumeration Date | 02/02/2015
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Last Update Date | 02/02/2015
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Provider Practice Location Address
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Address Line | 3585 N UNIVERSITY AVE STE 350
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City | PROVO
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State | UT
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Zip | 84604-6608
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Country | US
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Telephone | 385-312-9844
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Fax |
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Provider Business Mailing Address
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Address Line | 48 S 100 W
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-2618
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Country | US
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Telephone | 385-312-9844
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTHONY ALLEN HUGHES
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Credential | PH.D.
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Telephone | 385-312-9844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 356326-3902
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License Number State | UT
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