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General NPI Number Information
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NPI Number | 1558304360
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Entity Type | Individual
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Provider Name | WILLIAM EDWARD HOOPER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 05/28/2020
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Provider Practice Location Address
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Address Line | 512A MCDOWELL AVE NE # A
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City | ROANOKE
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State | VA
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Zip | 24016-1524
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Country | US
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Telephone | 540-345-3556
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Fax | 540-342-2193
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Provider Business Mailing Address
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Address Line | PO BOX 8310
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City | ROANOKE
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State | VA
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Zip | 24014-0310
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Country | US
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Telephone | 540-345-3556
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Fax | 540-342-2193
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 0101037335
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 0101037335
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License Number State | VA
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