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General NPI Number Information
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NPI Number | 1962347518
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Entity Type | Individual
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Provider Name | JENNA HOGAN
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Gender |
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 3600 TRENT RD
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City | NEW BERN
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State | NC
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Zip | 28562-2224
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Country | US
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Telephone | 252-367-8084
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Fax |
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Provider Business Mailing Address
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Address Line | 4224 DUNHAGAN RD
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City | GREENVILLE
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State | NC
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Zip | 27858-0689
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Country | US
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Telephone | 252-367-8084
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 6916
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License Number State | NC
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