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General NPI Number Information
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NPI Number | 1376257691
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Entity Type | Individual
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Provider Name | CALEB HOOVER MA, RMHCI
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Gender | Male
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Dates
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Enumeration Date | 01/11/2023
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 3550 N GOLDENROD RD
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City | WINTER PARK
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State | FL
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Zip | 32792-8823
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Country | US
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Telephone | 321-441-1030
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Fax |
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Provider Business Mailing Address
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Address Line | 515 TIVOLI CT
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-6826
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Country | US
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Telephone | 321-441-1030
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | IMH22941
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License Number State | FL
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