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General NPI Number Information
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NPI Number | 1811553530
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Entity Type | Individual
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Provider Name | MARION FRANKLIN HEDGER DDS
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Gender | Male
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Dates
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Enumeration Date | 05/17/2019
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Last Update Date | 05/17/2019
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Provider Practice Location Address
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Address Line | 1485 S GRANT AVE
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City | CRAWFORDSVILLE
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State | IN
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Zip | 47933-3361
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Country | US
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Telephone | 765-362-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 7728 TANAGER CT
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City | ZIONSVILLE
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State | IN
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Zip | 46077-8048
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Country | US
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Telephone | 317-344-6193
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12013132A
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License Number State | IN
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