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General NPI Number Information
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NPI Number | 1609155902
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Entity Type | Individual
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Provider Name | MIGNON HOOVER
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Gender | Female
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Dates
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Enumeration Date | 08/04/2011
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 2520 SAINT ROSE PKWY STE 306
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City | HENDERSON
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State | NV
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Zip | 89074-7790
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Country | US
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Telephone | 702-808-8141
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Fax |
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Provider Business Mailing Address
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Address Line | 5634 HEARTLAND WAY
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-5029
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Country | US
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Telephone | 734-276-7804
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IC-1445
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9548-C
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License Number State | NV
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