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General NPI Number Information
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NPI Number | 1295767473
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Entity Type | Individual
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Provider Name | JAY ANTHONY HOCKETT DDS
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8605 COLLEGE BLVD
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City | OVERLAND PARK
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State | KS
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Zip | 66210-1835
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Country | US
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Telephone | 913-381-4888
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Fax | 913-451-1483
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Provider Business Mailing Address
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Address Line | 4031 W 98TH ST
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City | OVERLAND PARK
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State | KS
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Zip | 66207-3713
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Country | US
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Telephone | 913-642-7414
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 4630
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License Number State | KS
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