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General NPI Number Information
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NPI Number | 1548511207
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Entity Type | Individual
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Provider Name | RYAN LLOYD HOOVER PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/20/2012
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 1100 E ASH ST
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City | GOLDSBORO
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State | NC
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Zip | 27530-5102
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Country | US
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Telephone | 800-243-0566
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Fax | 252-243-1347
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Provider Business Mailing Address
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Address Line | 2604 MEDICAL OFFICE PL
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City | GOLDSBORO
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State | NC
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Zip | 27534-9417
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Country | US
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Telephone | 919-580-0004
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Fax | 919-580-9099
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1003801
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License Number State | NC
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