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General NPI Number Information
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NPI Number | 1033271937
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Entity Type | Individual
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Provider Name | WILTON ERIC HOGGATT D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 09/26/2012
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Provider Practice Location Address
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Address Line | 513 W COMMERCE ST
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City | ABERDEEN
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State | MS
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Zip | 39730-2543
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Country | US
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Telephone | 662-369-2063
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Fax | 662-369-2076
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Provider Business Mailing Address
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Address Line | 60094 TUBB DR
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City | AMORY
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State | MS
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Zip | 38821-9164
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Country | US
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Telephone | 830-460-0899
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 1754-77
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License Number State | MS
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