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General NPI Number Information
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NPI Number | 1932525813
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Entity Type | Individual
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Provider Name | NATALIA HODGE DDS, MS
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Gender | Female
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Dates
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Enumeration Date | 03/14/2014
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Last Update Date | 03/14/2014
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Provider Practice Location Address
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Address Line | 3700 S UNIVERSITY AVE
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City | LITTLE ROCK
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State | AR
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Zip | 72204-6018
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Country | US
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Telephone | 501-712-5070
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Fax |
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Provider Business Mailing Address
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Address Line | 312 N PINE ST
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City | LITTLE ROCK
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State | AR
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Zip | 72205-4216
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Country | US
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Telephone | 870-450-4772
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 3980
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 019028810
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License Number State | IL
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