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General NPI Number Information
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NPI Number | 1497703300
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Entity Type | Individual
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Provider Name | FREDERICK W VAN HOOK MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 1200 N EL DORADO PL # B-250
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City | TUCSON
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State | AZ
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Zip | 85715-4637
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Country | US
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Telephone | 520-731-1191
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Fax | 520-731-6177
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Provider Business Mailing Address
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Address Line | PO BOX 17806
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City | TUCSON
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State | AZ
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Zip | 85731-7806
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Country | US
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Telephone | 520-909-6453
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Fax | 520-731-6177
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 27831
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License Number State | AZ
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