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General NPI Number Information
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NPI Number | 1154916153
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Entity Type | Organization
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Legal Business Name | ANSON L HOOPER DDS PLLC
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 03/02/2021
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Provider Practice Location Address
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Address Line | 802 SCHEMMER DR
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City | PRESCOTT
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State | AZ
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Zip | 86305-2347
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Country | US
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Telephone | 928-778-2421
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Fax | 928-443-5187
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Provider Business Mailing Address
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Address Line | 802 SCHEMMER DR
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City | PRESCOTT
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State | AZ
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Zip | 86305-2347
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Country | US
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Telephone | 928-778-2421
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Fax | 928-443-5187
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Authorized Official
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Title or Position | DENTIST
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Name | ANSON L HOOPER
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Credential | DDS
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Telephone | 928-778-2421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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