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NPI Code Detail

MEDICARE: MR. THOMAS DAVID HUGGINS RN

MEDICARE: MR. THOMAS DAVID HUGGINS RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered NurseRN 189129OH

General Provider Information

NPI Number : 1720054679
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS DAVID HUGGINS RN
Provider Business Mailing Address
First Line : 2500 E 22ND ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-3204
Country : US
Telephone Number : 216-931-1400
Fax Number :
Provider Business Practice Location Address
First Line : 2500 E 22ND ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-3204
Country : US
Telephone Number : 216-931-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 11/08/2016

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