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General NPI Number Information
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NPI Number | 1346842481
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Entity Type | Individual
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Provider Name | JANET ROSE HOOPER RPH
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Gender | Female
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Dates
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Enumeration Date | 11/13/2020
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 1360 N MAIN ST
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City | VIDOR
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State | TX
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Zip | 77662-3727
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Country | US
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Telephone | 409-769-1691
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Fax |
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Provider Business Mailing Address
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Address Line | 1360 N MAIN
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City | VIDOR
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State | TX
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Zip | 77662
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Country | US
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Telephone | 409-656-2681
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26965
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License Number State | TX
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