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General NPI Number Information
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NPI Number | 1598623944
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Entity Type | Individual
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Provider Name | JESSICA ANN DODGE DNP
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Gender | Female
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 100 HILLCREST MEDICAL BLVD
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City | WACO
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State | TX
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Zip | 76712-8897
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Country | US
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Telephone | 254-202-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 6864 MOFFAT LOOP
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City | TEMPLE
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State | TX
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Zip | 76502-6910
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Country | US
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Telephone | 915-238-0884
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 13566440
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License Number State | TX
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