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General NPI Number Information
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NPI Number | 1821798737
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Entity Type | Individual
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Provider Name | MS. APRIL EBONY HODGE
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Gender | Female
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | 8010 FOXDALE DR
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City | JACKSONVILLE
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State | FL
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Zip | 32210-4637
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Country | US
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Telephone | 904-718-3536
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Fax |
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Provider Business Mailing Address
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Address Line | 11111 SAN JOSE BLVD STE 56
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City | JACKSONVILLE
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State | FL
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Zip | 32223-7274
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Country | US
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Telephone | 904-465-7928
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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 | 374T00000X
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Taxonomy Name | Religious Nonmedical Nursing Personnel
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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