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General NPI Number Information
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NPI Number | 1669345112
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Entity Type | Organization
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Legal Business Name | CMH GROUP P.C.
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 16515 MERIDIAN E STE 105B
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City | PUYALLUP
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State | WA
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Zip | 98375-6253
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Country | US
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Telephone | 253-987-9111
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Fax | 844-827-2764
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Provider Business Mailing Address
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Address Line | 16515 MERIDIAN E STE 105B
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City | PUYALLUP
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State | WA
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Zip | 98375-6253
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Country | US
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Telephone | 253-987-9111
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Fax | 844-827-2764
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | CODY M HOOVER
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Credential | DPM
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Telephone | 253-973-6590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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