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General NPI Number Information
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NPI Number | 1962814194
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Entity Type | Individual
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Provider Name | DWIGHT AVERY HUGHES JR. NRP, CHW
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Gender | Male
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 2111 WOODWARD AVE STE 1200
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City | DETROIT
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State | MI
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Zip | 48201-3415
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Country | US
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Telephone | 313-546-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 314 E PHILADELPHIA ST
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City | DETROIT
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State | MI
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Zip | 48202-2241
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Country | US
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Telephone | 248-247-0584
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 1911986
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License Number State | MI
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