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General NPI Number Information
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NPI Number | 1518005511
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Entity Type | Individual
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Provider Name | KATHERINE ANNE HOOVER M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 35 W 3RD AVE
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City | WILLIAMSON
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State | WV
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Zip | 25661-3569
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Country | US
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Telephone | 304-235-4100
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Fax | 304-235-0797
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Provider Business Mailing Address
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Address Line | 35 WEST THIRD AVE.
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City | WILLIAMSON
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State | WV
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Zip | 25661
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Country | US
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Telephone | 304-235-4100
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Fax | 304-235-0797
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | WV11571
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License Number State | WV
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