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General NPI Number Information
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NPI Number | 1457625964
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Entity Type | Organization
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Legal Business Name | ROB HOGGE DDS PLLC
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 651 NORTH US HIGHWAY 183 SUITE 150
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City | LEANDER
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State | TX
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Zip | 78641-7006
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Country | US
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Telephone | 512-260-0123
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Fax | 512-260-0110
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Provider Business Mailing Address
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Address Line | 651 NORTH US HIGHWAY 183 SUITE 150
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City | LEANDER
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State | TX
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Zip | 78641-7006
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Country | US
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Telephone | 512-260-0123
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Fax | 512-260-0110
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT HOGGE
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Credential | DDS
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Telephone | 512-260-0123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 25553
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License Number State | TX
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