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General NPI Number Information
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NPI Number | 1568660728
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Entity Type | Individual
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Provider Name | TRACY ALAN HOOS II D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 05/07/2021
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Provider Practice Location Address
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Address Line | 904 W. OKMULGEE
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City | MUSKOGEE
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State | OK
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Zip | 74401-6841
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Country | US
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Telephone | 918-910-7991
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Fax | 918-205-8833
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Provider Business Mailing Address
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Address Line | 904 W. OKMULGEE
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City | MUSKOGEE
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State | OK
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Zip | 74401-6841
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Country | US
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Telephone | 918-521-5926
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Fax | 918-205-8833
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4648
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License Number State | OK
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