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General NPI Number Information
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NPI Number | 1417949868
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Entity Type | Individual
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Provider Name | KATHRYN A. HODGES D.C.
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Gender | Female
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Dates
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Enumeration Date | 08/20/2005
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 43 OLD SOLOMONS ISLAND ROAD SUITE 201
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City | ANNAPOLIS
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State | MD
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Zip | 21401
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Country | US
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Telephone | 410-266-3888
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Fax | 410-266-3880
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Provider Business Mailing Address
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Address Line | PO BOX 428
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City | CHESTER
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State | MD
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Zip | 21619
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Country | US
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Telephone | 410-266-3888
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Fax | 410-266-3880
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | S01447
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | S01447
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License Number State | MD
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