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General NPI Number Information
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NPI Number | 1285632406
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Entity Type | Individual
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Provider Name | WILLIAM T HOGARTH DC
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Gender | Male
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 07/18/2012
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Provider Practice Location Address
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Address Line | 1851 SCHOETTLER RD
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City | CHESTERFIELD
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State | MO
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Zip | 63017-5529
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Country | US
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Telephone | 636-227-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 7888 MEXICO RD
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City | SAINT PETERS
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State | MO
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Zip | 63376-3572
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Country | US
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Telephone | 636-397-3545
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2005023991
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License Number State | MO
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