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General NPI Number Information
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NPI Number | 1033446307
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Entity Type | Individual
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Provider Name | MICHAEL ROBERT-IAN HOGAN DC
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Gender | Male
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Dates
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Enumeration Date | 11/07/2009
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 1510 ASHEVILLE RD
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City | WAYNESVILLE
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State | NC
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Zip | 28786-3441
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Country | US
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Telephone | 828-246-9555
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Fax | 828-246-9556
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Provider Business Mailing Address
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Address Line | 1510 ASHEVILLE RD
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City | WAYNESVILLE
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State | NC
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Zip | 28786-3441
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Country | US
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Telephone | 828-246-9555
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Fax | 828-246-9556
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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 | 4014
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License Number State | NC
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