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General NPI Number Information
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NPI Number | 1992903991
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Entity Type | Individual
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Provider Name | AKI K HUGHES-POLK MS, MA, LPCC,
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Gender |
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | PO BOX 490272
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City | BLAINE
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State | MN
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Zip | 55449-0272
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Country | US
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Telephone | 612-913-8411
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 490272
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City | BLAINE
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State | MN
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Zip | 55434
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Country | US
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Telephone | 612-913-8411
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CC00024
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | MN
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