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General NPI Number Information
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NPI Number | 1053583443
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Entity Type | Individual
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Provider Name | BENJAMIN DAVID HOAGLAND MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 554 KEILY STREET
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City | JACKSONVILLE
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State | FL
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Zip | 32212-1312
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Country | US
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Telephone | 757-953-7550
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Fax | 757-953-7560
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Provider Business Mailing Address
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Address Line | ANDREWS MEDICAL GROUP - JOINT BASE ANDREWS BUILDING 1060, W. PERIMETER ROAD
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City | JOINT BASE ANDREWS
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State | MD
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Zip | 20762
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Country | US
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Telephone | 240-612-1650
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Fax | 240-612-2982
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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 | 0101255646
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License Number State | VA
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