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General NPI Number Information
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NPI Number | 1285776443
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Entity Type | Individual
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Provider Name | LEIA TATE HOOKER M.S.,CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 216 UNION CHURCH RD
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City | CARTHAGE
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State | NC
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Zip | 28327-0224
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Country | US
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Telephone | 910-585-1912
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Fax | 910-947-3951
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Provider Business Mailing Address
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Address Line | PO BOX 224
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City | CARTHAGE
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State | NC
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Zip | 28327-0224
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Country | US
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Telephone | 910-585-1912
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Fax | 910-947-3951
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 5829
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License Number State | NC
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