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General NPI Number Information
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NPI Number | 1346243391
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Entity Type | Individual
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Provider Name | JAMES BURTON HOOVER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 02/23/2016
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Provider Practice Location Address
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Address Line | 998 S DORSET RD STE 104
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City | TROY
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State | OH
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Zip | 45373-4748
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Country | US
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Telephone | 937-332-8843
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Fax | 937-332-8982
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Provider Business Mailing Address
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Address Line | 998 S DORSET RD STE 104
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City | TROY
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State | OH
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Zip | 45373-4748
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Country | US
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Telephone | 937-332-8843
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Fax | 937-332-8982
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 35048004
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License Number State | OH
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