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General NPI Number Information
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NPI Number | 1245284397
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Entity Type | Individual
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Provider Name | DAVID K HOOPER M.D., M.S.
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Gender | Male
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 81 N MARIO CAPECCHI DR
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City | SALT LAKE CITY
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State | UT
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Zip | 84113-1125
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Country | US
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Telephone | 801-662-1000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30180
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City | SALT LAKE CITY
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State | UT
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Zip | 84130-0180
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Country | US
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Telephone |
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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 | 2080P0210X
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Taxonomy Name | Pediatric Nephrology Physician
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License Number | 14220717-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35086331
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License Number State | OH
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