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General NPI Number Information
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NPI Number | 1487663993
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Entity Type | Individual
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Provider Name | WALTER W HOOVER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 25 HECKEL RD
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City | MC KEES ROCKS
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State | PA
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Zip | 15136-1651
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Country | US
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Telephone | 412-777-6369
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Fax | 412-777-6751
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Provider Business Mailing Address
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Address Line | 25 HECKEL RD
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City | MC KEES ROCKS
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State | PA
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Zip | 15136-1651
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Country | US
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Telephone | 412-777-6369
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Fax | 412-777-6751
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | MD-022390-E
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License Number State | PA
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