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General NPI Number Information
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NPI Number | 1699705475
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Entity Type | Individual
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Provider Name | SHARLY MICHELLE HOOPER M .S.,CCC-A
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Gender | Female
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | USPHS INDIAN HOSPITAL 1515 LAWRIE TATUM RD
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City | LAWTON
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State | OK
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Zip | 73507
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Country | US
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Telephone | 580-354-5117
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Fax | 580-354-5116
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Provider Business Mailing Address
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Address Line | RR 3 BOX 223
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City | WALTERS
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State | OK
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Zip | 73572-9552
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Country | US
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Telephone | 580-875-3423
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 247
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License Number State | OK
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