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General NPI Number Information
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NPI Number | 1740458926
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Entity Type | Organization
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Legal Business Name | WILLIAM J. HOOVER
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 904 PITKIN AVE
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-3354
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Country | US
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Telephone | 970-945-6011
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Fax | 970-945-5627
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Provider Business Mailing Address
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Address Line | 904 PITKIN AVE
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-3354
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Country | US
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Telephone | 970-945-6011
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Fax | 970-945-5627
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. WILLIAM J. HOOVER
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Credential | OD
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Telephone | 970-945-6011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1359
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License Number State | CO
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