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General NPI Number Information
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NPI Number | 1366746851
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Entity Type | Individual
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Provider Name | BRENDA KAY HOOVER FNP
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Gender | Female
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Dates
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Enumeration Date | 12/27/2010
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 37000 TANK BATALLION
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City | FT CAVAZOS
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State | TX
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Zip | 76544
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Country | US
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Telephone | 254-287-4487
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Fax |
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Provider Business Mailing Address
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Address Line | 1507 W MAIN ST
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City | GATESVILLE
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State | TX
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Zip | 76528-1024
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Country | US
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Telephone | 254-865-8251
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Fax | 254-248-6306
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 660282
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License Number State | TX
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