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General NPI Number Information
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NPI Number | 1992859425
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Entity Type | Organization
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Legal Business Name | DAVID D HODGE MD PC
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 03/17/2010
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Provider Practice Location Address
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Address Line | 44199 DEQUINDRE RD SUITE 415
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City | TROY
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State | MI
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Zip | 48085-1128
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Country | US
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Telephone | 248-964-6061
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Fax | 248-964-6054
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Provider Business Mailing Address
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Address Line | 44199 DEQUINDRE RD SUITE 415
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City | TROY
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State | MI
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Zip | 48085-1128
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Country | US
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Telephone | 248-964-6061
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Fax | 248-964-6054
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID D HODGE
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Credential | MD
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Telephone | 248-964-6061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301061638
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301078155
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 1467618694
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 1265648711
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301405955
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License Number State | MI
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