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General NPI Number Information
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NPI Number | 1225302227
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Entity Type | Organization
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Legal Business Name | HOGAN FAMILY DENTAL
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Dates
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Enumeration Date | 03/08/2012
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 1820 VALLEY DR E
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City | MILES CITY
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State | MT
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Zip | 59301-2701
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Country | US
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Telephone | 406-234-2926
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Fax |
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Provider Business Mailing Address
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Address Line | 1820 VALLEY DR E
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City | MILES CITY
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State | MT
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Zip | 59301-2701
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Country | US
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Telephone | 406-234-2926
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERIC HOGAN
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Credential | DDS
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Telephone | 406-234-2926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2197
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License Number State | MT
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