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General NPI Number Information
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NPI Number | 1891136701
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Entity Type | Individual
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Provider Name | JENNIFER MARIE HOGER L.AC., DIPL. OM
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Gender | Female
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Dates
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Enumeration Date | 07/09/2013
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Last Update Date | 01/17/2014
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Provider Practice Location Address
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Address Line | 709 W. 34TH ST. SUITE C
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City | AUSTIN
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State | TX
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Zip | 78705
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Country | US
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Telephone | 512-270-0634
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Fax |
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Provider Business Mailing Address
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Address Line | 2708 WILSON ST # A
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City | AUSTIN
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State | TX
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Zip | 78704-5441
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Country | US
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Telephone | 323-445-9048
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC15181
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License Number State | CA
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