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General NPI Number Information
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NPI Number | 1407855380
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Entity Type | Individual
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Provider Name | DONNA ANN HODGENS N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 2 CROSFIELD AVE SUITE 318
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City | WEST NYACK
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State | NY
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Zip | 10994-2226
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Country | US
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Telephone | 845-353-5600
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Fax | 845-353-3474
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Provider Business Mailing Address
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Address Line | 331 NEWMAN SPRINGS RD STE 220
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City | RED BANK
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State | NJ
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Zip | 07701-5792
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Country | US
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Telephone | 732-807-0877
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 26NR08692200
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License Number State | NJ
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