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General NPI Number Information
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NPI Number | 1396742433
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Entity Type | Individual
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Provider Name | ROBERT BERNARD HODDESON M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 01/06/2017
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Provider Practice Location Address
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Address Line | 5673 PEACHTREE DUNWOODY RD STE 150
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City | ATLANTA
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State | GA
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Zip | 30342-1731
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Country | US
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Telephone | 404-297-1780
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Fax | 404-252-7255
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Provider Business Mailing Address
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Address Line | 5673 PEACHTREE DUNWOODY RD STE 150
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City | ATLANTA
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State | GA
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Zip | 30342-1731
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Country | US
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Telephone | 404-297-1780
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Fax | 404-252-7255
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 030477
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number | 030477
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License Number State | GA
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