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NPI 1629775226

NPI 1629775226 : LUKE A HOPPER DPT : TRUSSVILLE, AL

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General NPI Number Information
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    NPI Number           |    1629775226
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    Entity Type          |    Individual 
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    Provider Name        |    LUKE A HOPPER DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/14/2023
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    Last Update Date     |    06/09/2025
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Provider Practice Location Address
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    Address Line         |    183 MAIN ST STE D 
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    City                 |    TRUSSVILLE
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    State                |    AL
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    Zip                  |    35173-1496
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    Country              |    US
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    Telephone            |    205-655-1009
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    Fax                  |    205-655-1264
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Provider Business Mailing Address
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    Address Line         |    1476 COUNTY ROAD 234 
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    City                 |    MOULTON
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    State                |    AL
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    Zip                  |    35650-8808
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    Country              |    US
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    Telephone            |    256-606-5527
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PTH11244
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    License Number State |    AL
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    0000015335
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    License Number State |    TN
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT42841
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    License Number State |    FL
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