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General NPI Number Information
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NPI Number | 1942792395
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Entity Type | Individual
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Provider Name | CHARMAINE HOGAN RN
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Gender | Female
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Dates
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Enumeration Date | 06/01/2018
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 2601 LITTLE ELM PKWY STE 1201
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City | LITTLE ELM
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State | TX
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Zip | 75068-1921
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Country | US
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Telephone | 409-440-2923
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 LITTLE ELM PKWY STE 1201
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City | LITTLE ELM
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State | TX
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Zip | 75068-1921
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Country | US
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Telephone | 940-440-2923
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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 | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | 842981
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 842981
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License Number State | TX
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