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General NPI Number Information
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NPI Number | 1356540496
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Entity Type | Individual
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Provider Name | JUSTIN RANDALL HOOVER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 01/18/2018
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Provider Practice Location Address
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Address Line | 2000 MEDICAL PKWY SUITE 100
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3742
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Country | US
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Telephone | 410-295-8900
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Fax | 443-481-6515
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Provider Business Mailing Address
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Address Line | 201 DEFENSE HWY STE 100
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City | ANNAPOLIS
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State | MD
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Zip | 21401-8902
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Country | US
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Telephone | 667-204-7000
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Fax | 443-481-6515
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 67523
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | LL29815
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | D76010
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License Number State | MD
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