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General NPI Number Information
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NPI Number | 1124229794
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Entity Type | Individual
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Provider Name | DAVID P HOCHSTEDLER PT
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 741 SOUTH DR
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City | MT. IDA
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State | AR
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Zip | 71957
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Country | US
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Telephone | 870-867-2584
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Fax |
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Provider Business Mailing Address
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Address Line | 215 BOW HILL TRL
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City | ROYAL
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State | AR
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Zip | 71968-9580
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Country | US
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Telephone | 501-991-3217
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 2708
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License Number State | AR
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