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General NPI Number Information
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NPI Number | 1164527263
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Entity Type | Individual
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Provider Name | WILLIAM MITCHELL HOGAN MD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 01/10/2017
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Provider Practice Location Address
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Address Line | 1432 HICKEY RD
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City | KNOXVILLE
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State | TN
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Zip | 37932-2017
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Country | US
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Telephone | 865-539-4000
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Fax | 865-539-8215
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Provider Business Mailing Address
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Address Line | PO BOX 31649
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City | KNOXVILLE
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State | TN
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Zip | 37930-1649
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Country | US
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Telephone | 865-539-4000
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Fax | 865-539-8215
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD0000014221
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License Number State | TN
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