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General NPI Number Information
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NPI Number | 1487826400
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Entity Type | Individual
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Provider Name | JAMES D HODGES LPC,
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Gender | Male
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 05/18/2020
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Provider Practice Location Address
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Address Line | 6171 CHILDERS RD
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1227
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Country | US
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Telephone | 304-733-5380
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Fax | 304-733-5796
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Provider Business Mailing Address
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Address Line | 6171 CHILDERS RD
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1227
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Country | US
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Telephone | 304-733-5380
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Fax | 304-733-5796
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1721
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License Number State | WV
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