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General NPI Number Information
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NPI Number | 1225554942
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Entity Type | Individual
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Provider Name | JENNIFER ROSE HODGES
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Gender | Female
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Dates
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Enumeration Date | 08/15/2017
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 555 ROUND ROCK WEST DR STE E202
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City | ROUND ROCK
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State | TX
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Zip | 78681-5052
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Country | US
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Telephone | 512-256-3770
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Fax | 855-310-6497
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Provider Business Mailing Address
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Address Line | 555 ROUND ROCK WEST DR STE E202
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City | ROUND ROCK
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State | TX
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Zip | 78681-5052
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Country | US
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Telephone | 512-256-3770
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 104305
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License Number State | TX
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