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General NPI Number Information
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NPI Number | 1265679310
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Entity Type | Organization
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Legal Business Name | G.S. HODGES, DDS
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 1 VANDERBILT PARK DR SUITE 260
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City | ASHEVILLE
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State | NC
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Zip | 28803-1736
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Country | US
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Telephone | 828-274-8088
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Fax | 828-274-3519
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Provider Business Mailing Address
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Address Line | 1 VANDERBILT PARK DR SUITE 260
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City | ASHEVILLE
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State | NC
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Zip | 28803-1736
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Country | US
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Telephone | 828-274-8088
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Fax | 828-274-3519
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Authorized Official
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Title or Position | DR. HODGES/OWNER
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Name | DR. G S HODGES
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Credential | DDS
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Telephone | 828-274-8088
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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 | 6570
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License Number State | NC
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