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General NPI Number Information
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NPI Number | 1891984472
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Entity Type | Organization
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Legal Business Name | RICHARD A HOSHAW, M.D., P.C.
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Dates
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Enumeration Date | 10/18/2007
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Last Update Date | 10/18/2007
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Provider Practice Location Address
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Address Line | 2375 N WYATT DR SUITE 109
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City | TUCSON
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State | AZ
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Zip | 85712-2152
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Country | US
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Telephone | 520-881-8600
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Fax | 520-881-8163
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Provider Business Mailing Address
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Address Line | 2375 N WYATT DR SUITE 109
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City | TUCSON
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State | AZ
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Zip | 85712-2152
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Country | US
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Telephone | 520-881-8600
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Fax | 520-881-8163
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD A HOSHAW
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Credential | M.D.
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Telephone | 520-881-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 11397
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License Number State | AZ
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