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General NPI Number Information
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NPI Number | 1699020008
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Entity Type | Individual
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Provider Name | RACHEL HOOVER BCBA
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Gender | Female
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Dates
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Enumeration Date | 07/23/2012
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 210 11TH AVE N APT 303
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-7266
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Country | US
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Telephone | 225-806-3586
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Fax |
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Provider Business Mailing Address
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Address Line | 45-180 MAHALANI PL APT 10
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City | KANEOHE
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State | HI
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Zip | 96744-2724
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Country | US
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Telephone |
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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 | 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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