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General NPI Number Information
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NPI Number | 1932980943
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Entity Type | Individual
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Provider Name | WILLIAM JOSEPH HODGE DO (DPT)
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Gender | Male
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Dates
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Enumeration Date | 10/06/2023
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 8501 ARLINGTON BLVD STE 200
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City | FAIRFAX
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State | VA
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Zip | 22031-4625
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Country | US
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Telephone | 571-472-4455
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Fax |
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Provider Business Mailing Address
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Address Line | 3339 MILITARY RD NW
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City | WASHINGTON
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State | DC
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Zip | 20015-1721
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Country | US
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Telephone | 808-729-6697
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305216041
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License Number State | VA
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