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General NPI Number Information
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NPI Number | 1528692431
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Entity Type | Individual
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Provider Name | GRANT DAVID HOOPER DDS
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Gender | Male
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Dates
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Enumeration Date | 02/29/2020
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1640 E RIVER RD STE 112
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City | TUCSON
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State | AZ
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Zip | 85718-7645
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Country | US
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Telephone | 520-299-4470
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Fax |
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Provider Business Mailing Address
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Address Line | 1640 E RIVER RD STE 112
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City | TUCSON
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State | AZ
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Zip | 85718-7645
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Country | US
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Telephone | 520-299-4470
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.026345
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D012299
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License Number State | AZ
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