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General NPI Number Information
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NPI Number | 1093209835
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Entity Type | Individual
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Provider Name | ALYSSA MEGAN TAYLOR HODGE FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/15/2018
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1047 BEN FRANKLIN RD
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City | GILBERT
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State | SC
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Zip | 29054-8916
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Country | US
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Telephone | 803-830-6477
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Fax | 803-249-7463
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Provider Business Mailing Address
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Address Line | 1047 BEN FRANKLIN RD
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City | GILBERT
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State | SC
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Zip | 29054-8916
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Country | US
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Telephone | 803-830-6477
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Fax | 803-249-7463
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | CP003483
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 81308
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 348828
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 115711
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License Number State | NE
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 141850832
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License Number State | UT
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1019711
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5013692
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 201282
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License Number State | ND
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Taxonomy #9
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 182273
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License Number State | IA
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Taxonomy #10
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 53-83683-01
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License Number State | KS
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Taxonomy #11
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11006980
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License Number State | FL
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Taxonomy #12
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95020221
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License Number State | CA
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Taxonomy #13
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | GAA-NP002990
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License Number State | GA
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Taxonomy #14
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 24238
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License Number State | SC
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