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NPI Code Detail

MEDICARE: JAMES T HODGE

MEDICARE: JAMES T HODGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer
2225700000XMassage Therapist02744RI
3225700000XMassage Therapist29011182CT
4172V00000XCommunity Health Worker527CT

General Provider Information

NPI Number : 1982337911
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES T HODGE
Provider Business Mailing Address
First Line : 66 FRANKLIN ST
Second Line :
City : NORWICH
State : CT
Zip : 06360-5806
Country : US
Telephone Number : 401-622-2447
Fax Number :
Provider Business Practice Location Address
First Line : 66 FRANKLIN ST
Second Line :
City : NORWICH
State : CT
Zip : 06360-5806
Country : US
Telephone Number : 401-622-2447
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2022
Last Update Date : 09/14/2024

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