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General NPI Number Information
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NPI Number | 1699334789
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Entity Type | Individual
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Provider Name | ANSON HOOPER DDS
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Gender | Male
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Dates
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Enumeration Date | 06/11/2019
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 802 SCHEMMER DR
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City | PRESCOTT
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State | AZ
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Zip | 86305-2347
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Country | US
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Telephone | 928-778-2421
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Fax | 928-443-5187
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Provider Business Mailing Address
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Address Line | 7693 E TUMBLE WEED RD
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86315-9028
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D010395
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License Number State | AZ
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