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General NPI Number Information
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NPI Number | 1366738577
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Entity Type | Individual
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Provider Name | MATTHEW J HOOVER PHARMD, BCPS
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Gender | Male
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 11/20/2014
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Provider Practice Location Address
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Address Line | 2213 CHERRY ST
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City | TOLEDO
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State | OH
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Zip | 43608-2603
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Country | US
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Telephone | 419-251-4071
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Fax |
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Provider Business Mailing Address
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Address Line | 12300 MCCRACKEN ROAD
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125
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Country | US
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Telephone | 216-584-7831
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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 | 03331035-3
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License Number State | OH
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