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General NPI Number Information
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NPI Number | 1396574950
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Entity Type | Individual
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Provider Name | AISLING HENSCHEL HODGINS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/31/2024
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 1000 S FORT THOMAS AVE
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City | FORT THOMAS
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State | KY
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Zip | 41075-2305
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Country | US
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Telephone | 859-572-6202
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Fax |
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Provider Business Mailing Address
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Address Line | 5569 VENUS LN
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City | FAIRFIELD
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State | OH
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Zip | 45014-5020
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Country | US
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Telephone | 405-802-5225
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | P.08656
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License Number State | OH
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