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NPI Code Detail

MEDICARE: TARIKA HODGES

MEDICARE:   TARIKA  HODGES
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
1171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639721509
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARIKA HODGES
Provider Business Mailing Address
First Line : 5464 LINDEN ST
Second Line :
City : BATON ROUGE
State : LA
Zip : 70805-5243
Country : US
Telephone Number : 225-938-8490
Fax Number :
Provider Business Practice Location Address
First Line : 5464 LINDEN ST
Second Line :
City : BATON ROUGE
State : LA
Zip : 70805-5243
Country : US
Telephone Number : 225-938-8490
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2019
Last Update Date : 07/11/2019

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Directions to “ TARIKA HODGES ” Practice Location

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