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General NPI Number Information
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NPI Number | 1265402291
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Entity Type | Individual
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Provider Name | JOSEPH AL HODGES JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 01/12/2010
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Provider Practice Location Address
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Address Line | 57635 HIGHWAY 12
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City | HATTERAS
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State | NC
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Zip | 27943
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Country | US
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Telephone | 252-986-2756
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Fax | 252-986-1201
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Provider Business Mailing Address
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Address Line | 57635 HIGHWAY 12 PO BOX 340
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City | HATTERAS
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State | NC
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Zip | 27943
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Country | US
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Telephone | 252-986-2756
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Fax | 252-986-1201
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34544
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License Number State | NC
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