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General NPI Number Information
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NPI Number | 1013036409
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Entity Type | Individual
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Provider Name | MICHAEL S HOOD PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 65 MECHANIC ST STE 105
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City | RED BANK
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State | NJ
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Zip | 07701-1852
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Country | US
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Telephone | 732-268-7130
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Fax |
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Provider Business Mailing Address
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Address Line | 65 MECHANIC ST STE 105
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City | RED BANK
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State | NJ
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Zip | 07701-1852
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Country | US
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Telephone | 732-268-7130
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.002663
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA982
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 016798
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 50.002663
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00500200
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License Number State | NJ
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