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General NPI Number Information
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NPI Number | 1336594126
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Entity Type | Individual
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Provider Name | JESSICA MICHELLE HOOD PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 11/01/2016
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Provider Practice Location Address
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Address Line | 2812 SAINT MARKS DR
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City | DUNEDIN
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State | FL
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Zip | 34698-1926
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Country | US
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Telephone | 727-328-4633
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Fax | 727-328-4633
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Provider Business Mailing Address
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Address Line | 2812 SAINT MARKS DR
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City | DUNEDIN
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State | FL
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Zip | 34698-1926
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Country | US
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Telephone | 727-328-4633
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Fax | 727-328-4633
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9109375
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License Number State | FL
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