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Individual
DR. LEE W HODGE
Active
Individual
DR. LEE W HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1439
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18895000040
QUAL CHOICE OF ARKANSAS
AR
01
—
2459961
CIGNA
AR
01
—
44-20060
UNITED HEALTH CARE
AR
01
—
5T646
BLUE CROSS BLUE SHIELD
AR
01
—
710847827
PIN
AR
01
—
721190
AETNA
AR
01
—
S02725
NOVA SYSTEMS
AR
Enumeration date
01/20/2006
Last updated
06/24/2011
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