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General NPI Number Information
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NPI Number | 1538872254
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Entity Type | Individual
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Provider Name | REGINA CAROL HOGAN LPC-A
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Gender | Female
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Dates
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Enumeration Date | 12/27/2022
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 2585 FM 2022
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City | ELKHART
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State | TX
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Zip | 75839-4549
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Country | US
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Telephone | 903-724-4706
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Fax |
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Provider Business Mailing Address
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Address Line | 410 ANDERSON COUNTY ROAD 1237
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City | GRAPELAND
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State | TX
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Zip | 75844
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Country | US
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Telephone | 903-724-4706
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 82708
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License Number State | TX
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