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General NPI Number Information
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NPI Number | 1487681672
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Entity Type | Individual
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Provider Name | DAVID W HODO MD
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Gender | Male
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 800 TREMONT STREET
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City | SELMA
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State | AL
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Zip | 36701
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Country | US
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Telephone | 334-872-6773
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Fax | 334-874-6257
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Provider Business Mailing Address
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Address Line | PO BOX 1334
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City | SELMA
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State | AL
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Zip | 36702-1334
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Country | US
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Telephone | 334-872-6773
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Fax | 334-874-6257
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 00005897
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License Number State | AL
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