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NPI 1447474143

NPI 1447474143 : DONN M HOGAN M.D. : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1447474143
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    Entity Type          |    Individual 
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    Provider Name        |    DONN M HOGAN M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/12/2007
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    Last Update Date     |    08/03/2015
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Provider Practice Location Address
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    Address Line         |    9746 N 90TH PL STE 205 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85258-5085
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    Country              |    US
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    Telephone            |    480-610-6100
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    Fax                  |    480-767-2716
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Provider Business Mailing Address
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    Address Line         |    2149 E WARNER ROAD SUITE 102 
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    City                 |    TEMPE
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    State                |    AZ
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    Zip                  |    85284
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    Country              |    US
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    Telephone            |    480-610-6100
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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        |    207RN0300X
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    Taxonomy Name        |    Nephrology Physician
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    License Number       |    36903
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    License Number State |    AZ
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