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General NPI Number Information
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NPI Number | 1982218178
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Entity Type | Organization
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Legal Business Name | DAVID J. HOGGE, O.D. LLC
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Dates
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Enumeration Date | 09/04/2020
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Last Update Date | 02/27/2021
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Provider Practice Location Address
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Address Line | 4500 WASHINGTON AVE
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City | NEWPORT NEWS
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State | VA
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Zip | 23607-2530
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Country | US
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Telephone | 757-327-4189
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Fax | 757-257-9153
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Provider Business Mailing Address
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Address Line | 4500 WASHINGTON AVE
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City | NEWPORT NEWS
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State | VA
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Zip | 23607-2530
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Country | US
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Telephone | 757-327-4189
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Fax | 757-257-9153
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID JOSEPH HOGGE
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Credential | OD
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Telephone | 757-327-4189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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