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General NPI Number Information
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NPI Number | 1750981536
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Entity Type | Individual
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Provider Name | DARIN CARTER HOGEN
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Gender | Male
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 1063 MCGAW AVE STE 100
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City | IRVINE
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State | CA
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Zip | 92614-5554
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Country | US
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Telephone | 714-834-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 26356 VINTAGE WOODS RD APT 14B
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City | LAKE FOREST
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State | CA
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Zip | 92630-7210
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Country | US
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Telephone | 503-442-6798
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | ABA-IN-10210496
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | CA
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