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General NPI Number Information
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NPI Number | 1710995204
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Entity Type | Individual
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Provider Name | DOUGLAS ROBERT HOOD P.A.
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Gender | Male
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 08/08/2014
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Provider Practice Location Address
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Address Line | 330 ORCHARD STREET SUITE 216
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City | NEW HAVEN
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State | CT
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Zip | 06511-4430
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Country | US
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Telephone | 203-789-6047
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Fax | 203-782-6311
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Provider Business Mailing Address
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Address Line | 330 ORCHARD STREET SUITE 216
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City | NEW HAVEN
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State | CT
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Zip | 06511-4430
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Country | US
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Telephone | 203-789-6047
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Fax | 203-782-6311
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 000270
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 000270
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 000270
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License Number State | CT
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