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General NPI Number Information
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NPI Number | 1609091354
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Entity Type | Individual
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Provider Name | MICHAEL J. HOCHBERG DMD
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Gender | Male
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 04/06/2010
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Provider Practice Location Address
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Address Line | 9 TRIANGLE PARK DRIVE SUITE 3
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City | CONCORD
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State | NH
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Zip | 03301
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Country | US
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Telephone | 603-225-6331
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Fax | 603-225-3712
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Provider Business Mailing Address
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Address Line | 9 TRIANGLE PARK DRIVE SUITE 3
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City | CONCORD
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State | NH
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Zip | 03301
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Country | US
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Telephone | 603-225-6331
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Fax | 603-225-3712
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3155
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS030563L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.021251
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 03155
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License Number State | NH
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