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General NPI Number Information
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NPI Number | 1427394113
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Entity Type | Individual
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Provider Name | DANIEL CLINTON HOCUTT LCSW
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Gender | Male
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Dates
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Enumeration Date | 12/27/2012
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 1849 LAMAR AVE STE 100
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City | PARIS
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State | TX
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Zip | 75460-1474
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Country | US
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Telephone | 903-715-1154
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Fax |
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Provider Business Mailing Address
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Address Line | 1849 LAMAR AVE STE 100
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City | PARIS
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State | TX
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Zip | 75460-1474
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Country | US
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Telephone | 903-715-1154
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 61216
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5050
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License Number State | OK
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