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General NPI Number Information
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NPI Number | 1053583161
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Entity Type | Individual
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Provider Name | HOHETE YOHANNES HENDRIX DMD;MSD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2008
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 2676 CHARLESTOWN RD STE 1
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City | NEW ALBANY
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State | IN
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Zip | 47150-2574
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Country | US
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Telephone | 317-224-8579
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Fax |
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Provider Business Mailing Address
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Address Line | 2676 CHARLESTOWN RD STE 1
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City | NEW ALBANY
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State | IN
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Zip | 47150-2574
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Country | US
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Telephone | 812-945-5533
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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 | 12011079A
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License Number State | IN
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