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General NPI Number Information
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NPI Number | 1699067975
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Entity Type | Individual
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Provider Name | RENEE ANN HODGINS M.ED.
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Gender | Female
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Dates
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Enumeration Date | 05/05/2011
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 4144 LINDELL BLVD STE 226
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2967
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Country | US
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Telephone | 314-348-0008
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Fax | 314-270-5309
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Provider Business Mailing Address
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Address Line | 4144 LINDELL BLVD STE 226
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2967
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Country | US
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Telephone | 314-348-0008
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Fax | 314-270-5309
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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 | 2010013455
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License Number State | MO
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