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General NPI Number Information
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NPI Number | 1558035469
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Entity Type | Individual
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Provider Name | KEITH HOODY CNP
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Gender | Male
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 2 EMBARCADERO CTR LBBY LEVEL
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-3823
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Country | US
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Telephone | 888-663-6331
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Fax |
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Provider Business Mailing Address
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Address Line | 5502 ARBOR CHASE DR
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City | ANN ARBOR
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State | MI
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Zip | 48103-3516
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Country | US
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Telephone | 567-694-9253
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F09201243
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95026599
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License Number State | CA
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