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General NPI Number Information
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NPI Number | 1619909231
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Entity Type | Individual
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Provider Name | FREDERICK T HODGES MD
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 03/20/2020
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Provider Practice Location Address
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Address Line | 3315 HACKS CROSS RD STE 109
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City | MEMPHIS
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State | TN
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Zip | 38125-8935
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Country | US
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Telephone | 901-417-8551
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Fax | 901-207-4563
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Provider Business Mailing Address
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Address Line | 3315 HACKS CROSS RD STE 109
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City | MEMPHIS
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State | TN
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Zip | 38125-8935
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Country | US
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Telephone | 901-417-8551
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Fax | 901-207-4563
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD0000034304
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License Number State | TN
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