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General NPI Number Information
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NPI Number | 1194713222
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Entity Type | Individual
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Provider Name | JOSEPH E HANCOCK M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 12/09/2014
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Provider Practice Location Address
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Address Line | 3502 9TH ST SUITE 360
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City | LUBBOCK
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State | TX
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Zip | 79415-3300
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Country | US
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Telephone | 806-761-0747
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Fax | 806-761-0751
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Provider Business Mailing Address
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Address Line | PO BOX 64864
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City | LUBBOCK
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State | TX
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Zip | 79490
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Country | US
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Telephone | 806-785-2045
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Fax | 806-785-0872
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | H8676
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License Number State | TX
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