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General NPI Number Information
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NPI Number | 1578373387
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Entity Type | Individual
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Provider Name | ELISABETH GRACE HOOD
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Gender | Female
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 1545 CROSSWAYS BLVD STE 250
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City | CHESAPEAKE
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State | VA
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Zip | 23320-0218
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Country | US
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Telephone | 463-213-3882
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Fax | 855-915-1521
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Provider Business Mailing Address
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Address Line | 2390 WEDGEWOOD DR UNIT 6250
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City | AKRON
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State | OH
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Zip | 44312-2479
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Country | US
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Telephone | 888-238-1818
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Fax | 855-915-1521
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-24-387675
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License Number State | VA
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