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General NPI Number Information
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NPI Number | 1821069915
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Entity Type | Individual
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Provider Name | JAY A. HOCKMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 1850 STATE ST
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City | NEW ALBANY
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State | IN
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Zip | 47150-4990
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Country | US
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Telephone | 812-944-7701
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 70101
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City | LOUISVILLE
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State | KY
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Zip | 40270-0101
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Country | US
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Telephone | 812-945-3916
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Fax | 812-944-3404
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01050894A
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License Number State | IN
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