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General NPI Number Information
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NPI Number | 1174929400
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Entity Type | Individual
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Provider Name | BRANDON JUSTIN HODGES D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2014
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Last Update Date | 06/14/2025
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Provider Practice Location Address
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Address Line | 201 N OAKRIDGE DR
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City | HUDSON OAKS
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State | TX
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Zip | 76087-7772
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Country | US
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Telephone | 747-388-4703
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Fax |
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Provider Business Mailing Address
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Address Line | 1117 TIMBER CREEK DR
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City | WEATHERFORD
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State | TX
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Zip | 76086-6351
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Country | US
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Telephone | 310-793-6843
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC32923
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 15840
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License Number State | TX
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