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General NPI Number Information
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NPI Number | 1124159876
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Entity Type | Individual
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Provider Name | DENNIS EDWARD HOJNA LCSW
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 12/24/2018
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Provider Practice Location Address
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Address Line | 250 CUSHMAN STREET SUITE 5
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City | FAIRBANKS
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State | AK
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Zip | 99701
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Country | US
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Telephone | 907-712-7485
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 84156
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City | FAIRBANKS
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State | AK
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Zip | 99708-4156
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Country | US
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Telephone | 907-712-7485
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSWS372
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License Number State | AK
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