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General NPI Number Information
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NPI Number | 1831052406
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Entity Type | Individual
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Provider Name | JARRAD D. HODGE PH.D.
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Gender | Male
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1941 EAST RD
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City | HOUSTON
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State | TX
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Zip | 77054-6010
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Country | US
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Telephone | 832-901-5455
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Fax |
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Provider Business Mailing Address
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Address Line | 14439 E GLEN WILLOW RD
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City | MISSOURI CITY
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State | TX
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Zip | 77489-1857
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Country | US
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Telephone | 832-901-5455
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 40501
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License Number State | TX
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