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General NPI Number Information
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NPI Number | 1811706336
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Entity Type | Organization
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Legal Business Name | PATRICIA HOGAN, MD., LLC
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Dates
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Enumeration Date | 12/31/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 2850 CAPITAL MEDICAL BLVD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4406
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Country | US
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Telephone | 850-309-1972
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Fax | 850-309-1912
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Provider Business Mailing Address
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Address Line | 2850 CAPITAL MEDICAL BLVD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4406
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Country | US
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Telephone | 850-309-1972
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Fax | 850-309-1912
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Authorized Official
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Title or Position | OWNER
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Name | PATRICIA HOGAN
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Credential | MD
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Telephone | 850-509-6080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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