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General NPI Number Information
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NPI Number | 1114298536
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Entity Type | Organization
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Legal Business Name | ROBERT M HOGAN III MD APMC
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Dates
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Enumeration Date | 01/17/2012
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Last Update Date | 01/17/2012
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Provider Practice Location Address
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Address Line | 4315 HOUMA BLVD SUITE 302
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City | METAIRIE
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State | LA
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Zip | 70006-2940
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Country | US
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Telephone | 504-454-7800
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Fax | 504-454-8924
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Provider Business Mailing Address
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Address Line | 4315 HOUMA BLVD SUITE 302
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City | METAIRIE
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State | LA
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Zip | 70006-2940
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Country | US
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Telephone | 504-454-7800
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Fax | 504-454-8924
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ROBERT MILTON HOGAN III
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Credential | M.D.
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Telephone | 504-454-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 014165
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License Number State | LA
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