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General NPI Number Information
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NPI Number | 1003801333
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Entity Type | Individual
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Provider Name | KEVIN MARCELL HODDINOTT MD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 1511 SW 1ST AVE
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City | OCALA
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State | FL
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Zip | 34471-6505
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Country | US
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Telephone | 352-368-1661
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Fax | 352-867-9794
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Provider Business Mailing Address
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Address Line | PO BOX 3130
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City | OCALA
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State | FL
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Zip | 34478-3130
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Country | US
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Telephone | 352-867-8311
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Fax | 352-867-1053
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD0578081
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35-06-2777
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME100609
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | ME100609
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License Number State | FL
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