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General NPI Number Information
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NPI Number | 1518081074
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Entity Type | Individual
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Provider Name | JULEE MARGARET HODGES AU.D., CCC-A
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/20/2023
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Provider Practice Location Address
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Address Line | 3691 PARKER BLVD
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City | PUEBLO
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State | CO
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Zip | 81008-2278
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Country | US
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Telephone | 719-545-4902
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Fax |
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Provider Business Mailing Address
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Address Line | 15773 TIMBER TREK WAY
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City | MONUMENT
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State | CO
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Zip | 80132-7191
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Country | US
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Telephone | 870-421-0110
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A414
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AUD0000293
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License Number State | CO
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