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General NPI Number Information
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NPI Number | 1649615899
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Entity Type | Organization
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Legal Business Name | LAKE HAVASU OB-GYN CARE LLC
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 2130 MESQUITE AVE UNIT 100
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86403-6897
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Country | US
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Telephone | 928-302-5100
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Fax | 928-302-5103
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Provider Business Mailing Address
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Address Line | 2130 MESQUITE AVE UNIT 100
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86403-6897
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Country | US
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Telephone | 928-302-5100
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Fax | 928-302-5103
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Authorized Official
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Title or Position | OWNER
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Name | KEVIN HOOKER
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Credential | MD
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Telephone | 928-302-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 37930
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License Number State | AZ
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