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General NPI Number Information
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NPI Number | 1336504513
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Entity Type | Individual
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Provider Name | LAMONICA ANTONETTE HODGES FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/15/2015
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 6040 N CAMELBACK MANOR DR
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-5148
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Country | US
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Telephone | 784-532-9222
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Fax | 866-841-2587
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Provider Business Mailing Address
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Address Line | 6040 N CAMELBACK MANOR DR
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-5148
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Country | US
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Telephone | 928-606-8705
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Fax | 866-841-2587
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 901388
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 242329
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | GAA-NP002957
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License Number State | GA
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