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General NPI Number Information
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NPI Number | 1891704086
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Entity Type | Individual
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Provider Name | AMY E HOGAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/04/2011
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Provider Practice Location Address
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Address Line | 600 S SANTA FE AVE SUITE E
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City | SALINA
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State | KS
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Zip | 67401-4148
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Country | US
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Telephone | 785-404-1603
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1815
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City | SALINA
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State | KS
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Zip | 67402-1815
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Country | US
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Telephone | 785-404-1603
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 04-31120
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License Number State | KS
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