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General NPI Number Information
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NPI Number | 1285967794
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Entity Type | Organization
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Legal Business Name | NATHAN HOOVER PA
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 09/15/2009
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Provider Practice Location Address
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Address Line | 2526 82ND ST A7
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City | LUBBOCK
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State | TX
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Zip | 79423-2223
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Country | US
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Telephone | 806-239-1438
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Fax | 806-771-2717
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Provider Business Mailing Address
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Address Line | 2526 82ND ST A7
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City | LUBBOCK
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State | TX
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Zip | 79423-2223
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Country | US
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Telephone | 806-239-1438
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Fax | 806-771-2717
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Authorized Official
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Title or Position | PRESIDENT
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Name | NATHAN HOOVER
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Credential | LPC, M.ED.
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Telephone | 806-239-1438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 19059
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License Number State | TX
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