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Individual
MR. HUGH MAIN
Active
Individual
MR. HUGH MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000747
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410052
MVP
VT
01
—
S9671
BCBS
VT
05
—
VN 3295
—
VT
Enumeration date
11/15/2006
Last updated
07/08/2007
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