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General NPI Number Information
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NPI Number | 1952099665
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Entity Type | Individual
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Provider Name | BENJAMIN HUGHES FNP-C
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Gender | Male
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 3435 N COLLEGE DR, SUITE A
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City | CHEYENNE
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State | WY
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Zip | 80021
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Country | US
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Telephone | 307-456-1919
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Fax |
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Provider Business Mailing Address
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Address Line | 600 JEFFERSON ST STE 600
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City | LAFAYETTE
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State | LA
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Zip | 70501-6987
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Country | US
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Telephone |
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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 | 1113072
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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 | C-APN.0101687-C-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 54403
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License Number State | WY
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