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General NPI Number Information
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NPI Number | 1093777633
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Entity Type | Organization
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Legal Business Name | GEORGE T HOCKER MD
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 209 OLD WATERFORD ROAD NW
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City | LEESBURG
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State | VA
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Zip | 20176
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Country | US
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Telephone | 703-777-4959
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Fax | 703-777-8364
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Provider Business Mailing Address
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Address Line | 209 OLD WATERFORD ROAD NW
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City | LEESBURG
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State | VA
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Zip | 20176
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Country | US
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Telephone | 703-777-4959
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Fax | 703-777-8364
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGE T HOCKER
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Credential | MD
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Telephone | 703-777-4959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0101016585
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License Number State | VA
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