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General NPI Number Information
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NPI Number | 1902044118
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Entity Type | Organization
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Legal Business Name | A. GERRY HODGES, M.D., P.C.
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Dates
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Enumeration Date | 01/26/2009
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Last Update Date | 01/27/2009
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Provider Practice Location Address
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Address Line | 200 OFFICE PARK DR STE 314
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City | BIRMINGHAM
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State | AL
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Zip | 35223-2456
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Country | US
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Telephone | 205-802-6224
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Fax | 205-967-2284
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Provider Business Mailing Address
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Address Line | 200 OFFICE PARK DR STE 314
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City | BIRMINGHAM
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State | AL
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Zip | 35223-2456
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Country | US
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Telephone | 205-802-6224
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Fax | 205-967-2284
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREW G HODGES
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Credential | MD
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Telephone | 205-802-6224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 11125
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License Number State | AL
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