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General NPI Number Information
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NPI Number | 1053915850
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Entity Type | Individual
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Provider Name | TAYLOR RAE HOOKER MS, CTRS, NBC-HWC
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Gender | Female
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Dates
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Enumeration Date | 11/23/2020
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 160 MINE LAKE CT
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City | RALEIGH
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State | NC
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Zip | 27615-6417
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Country | US
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Telephone | 800-516-0975
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Fax |
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Provider Business Mailing Address
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Address Line | 1144 PARSONAGE ST
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-3304
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Country | US
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Telephone | 757-286-2029
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | A-3084110
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number | 66891
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License Number State |
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