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General NPI Number Information
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NPI Number | 1679836878
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Entity Type | Organization
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Legal Business Name | DAVID W. HODO, M.D., P.A.
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 06/21/2012
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Provider Practice Location Address
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Address Line | 800 TREMONT STREET
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City | SELMA
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State | AL
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Zip | 36701-5447
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Country | US
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Telephone | 334-872-6773
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Fax | 334-874-6257
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Provider Business Mailing Address
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Address Line | P.O. BOX 1334 800 TREMONT STREET
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City | SELMA
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State | AL
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Zip | 36702-1334
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Country | US
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Telephone | 334-872-6773
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Fax | 334-874-6257
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Authorized Official
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Title or Position | PRESIDENT/M.D./PHYSICIAN
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Name | MR. DAVID W. HODO
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Credential | M.D.
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Telephone | 334-872-6773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 00005987
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License Number State | AL
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