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General NPI Number Information
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NPI Number | 1417933599
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Entity Type | Individual
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Provider Name | WILLIAM GREGORY HODGES M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 03/05/2019
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Provider Practice Location Address
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Address Line | 3417 GASTON AVE STE 800
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City | DALLAS
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State | TX
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Zip | 75246-2034
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Country | US
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Telephone | 214-323-8500
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Fax | 214-820-7463
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Provider Business Mailing Address
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Address Line | PO BOX 35629
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City | DALLAS
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State | TX
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Zip | 75235-0629
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Country | US
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Telephone | 214-424-2200
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Fax | 214-231-2159
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | H6292
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License Number State | TX
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