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General NPI Number Information
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NPI Number | 1104243344
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Entity Type | Individual
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Provider Name | JUDY L HOOVER LMT
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Gender | Female
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 03/26/2014
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Provider Practice Location Address
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Address Line | 611 W. MARKET STREET SUITE A
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City | AKRON
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State | OH
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Zip | 44303
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Country | US
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Telephone | 330-253-0400
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Fax | 330-253-0402
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Provider Business Mailing Address
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Address Line | 5195 MAYFIELD RD SUITE 10
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City | LYNDHURST
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State | OH
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Zip | 44124
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Country | US
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Telephone | 440-720-1810
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Fax | 440-720-1814
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 33.013904
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License Number State | OH
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