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General NPI Number Information
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NPI Number | 1972683050
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Entity Type | Organization
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Legal Business Name | SUSAN M HUGHES MD PC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 05/20/2013
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Provider Practice Location Address
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Address Line | 1765 SPRINGDALE RD SUITE B2
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2177
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Country | US
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Telephone | 856-751-4554
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Fax | 856-751-6888
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Provider Business Mailing Address
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Address Line | 1765 SPRINGDALE RD SUITE B2
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2177
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Country | US
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Telephone | 856-751-4554
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Fax | 856-751-6888
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUSAN M HUGHES
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Credential | MD
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Telephone | 856-751-4554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | MA04602700
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License Number State | NJ
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