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NPI 1033275417

NPI 1033275417 : ERIC M HODER DC : PLANTATION, FL

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General NPI Number Information
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    NPI Number           |    1033275417
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    Entity Type          |    Individual 
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    Provider Name        |    ERIC M HODER DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/29/2006
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    Last Update Date     |    03/02/2009
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Provider Practice Location Address
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    Address Line         |    10078 NW 1ST CT 
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    City                 |    PLANTATION
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    State                |    FL
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    Zip                  |    33324-7035
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    Country              |    US
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    Telephone            |    954-472-7975
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    Fax                  |    954-472-7941
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Provider Business Mailing Address
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    Address Line         |    10078 NW 1ST CT 
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    City                 |    PLANTATION
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    State                |    FL
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    Zip                  |    33324-7035
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    Country              |    US
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    Telephone            |    954-472-7975
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    Fax                  |    954-472-7941
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    CH0008593
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    License Number State |    FL
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