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General NPI Number Information
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NPI Number | 1427205657
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Entity Type | Organization
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Legal Business Name | HOOK EYE CARE, TODD W. HOOK, OD, PC
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 04/09/2014
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Provider Practice Location Address
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Address Line | 2717 SE I ST STE 1
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City | BENTONVILLE
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State | AR
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Zip | 72712-3996
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Country | US
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Telephone | 479-254-3937
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Fax | 479-254-3938
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Provider Business Mailing Address
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Address Line | 2717 SE I ST STE 1
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City | BENTONVILLE
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State | AR
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Zip | 72712-3996
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Country | US
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Telephone | 479-254-3937
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Fax | 479-254-3938
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. TODD WALTON HOOK
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Credential | O.D.
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Telephone | 479-254-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2451
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License Number State | AR
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