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General NPI Number Information
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NPI Number | 1952338402
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Entity Type | Individual
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Provider Name | MATTHEW STEVEN HOGUE D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 06/11/2014
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Provider Practice Location Address
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Address Line | 174 BARNWOOD DR
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City | EDGEWOOD
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State | KY
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Zip | 41017-2501
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Country | US
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Telephone | 859-341-7746
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Fax | 859-341-4214
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Provider Business Mailing Address
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Address Line | 174 BARNWOOD DR
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City | EDGEWOOD
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State | KY
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Zip | 41017-2501
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Country | US
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Telephone | 859-341-7746
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Fax | 859-341-4214
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4644
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08001980A
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License Number State | IN
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