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General NPI Number Information
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NPI Number | 1437647971
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Entity Type | Organization
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Legal Business Name | SANDY L. HOGINS, PSY.D., LLC
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Dates
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Enumeration Date | 04/30/2018
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Last Update Date | 04/30/2018
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Provider Practice Location Address
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Address Line | 915 FIRST COLONIAL RD STE 200
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3197
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Country | US
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Telephone | 757-965-5624
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Fax | 757-324-5222
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Provider Business Mailing Address
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Address Line | 915 FIRST COLONIAL RD STE 200
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3197
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Country | US
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Telephone | 757-965-5624
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Fax | 757-324-5222
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Authorized Official
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Title or Position | OWNER
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Name | DR. SANDRA LEE HOGINS
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Credential | PSY.D.
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Telephone | 757-965-5624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810005216
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License Number State | VA
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