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General NPI Number Information
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NPI Number | 1477502219
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Entity Type | Individual
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Provider Name | WILLIAM P HODOUS DPM
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Gender | Male
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 2414 KOHLER MEMORIAL DR
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City | SHEBOYGAN
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State | WI
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Zip | 53081-3129
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Country | US
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Telephone | 920-457-4461
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Fax |
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Provider Business Mailing Address
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Address Line | 13516 HWY F
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City | NEWTON
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State | WI
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Zip | 53063
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Country | US
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Telephone | 920-726-4824
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 560
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License Number State | WI
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