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General NPI Number Information
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NPI Number | 1891970497
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Entity Type | Organization
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Legal Business Name | HODGKINSON PC
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 2806 N NAVARRO ST SUITE K
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City | VICTORIA
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State | TX
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Zip | 77901-3918
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Country | US
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Telephone | 361-582-4667
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Fax | 361-582-4787
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Provider Business Mailing Address
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Address Line | 2806 N NAVARRO ST SUITE K
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City | VICTORIA
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State | TX
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Zip | 77901-3918
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Country | US
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Telephone | 361-582-4667
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Fax | 361-582-4787
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Authorized Official
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Title or Position | PRESIDENT/PHYSICAL THERAPIST
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Name | MS. MARY CREAGER HODGKINSON
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Credential | PT
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Telephone | 361-582-4667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 621270000
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License Number State | TX
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