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General NPI Number Information
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NPI Number | 1760071716
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Entity Type | Individual
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Provider Name | MICHELLE ANN HOCKER AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/14/2021
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 5726 E UPMINSTER ST
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City | NAMPA
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State | ID
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Zip | 83687-7606
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Country | US
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Telephone | 505-426-6730
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Fax |
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Provider Business Mailing Address
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Address Line | 5726 E UPMINSTER ST
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City | NAMPA
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State | ID
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Zip | 83687-7606
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Country | US
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Telephone | 505-426-6730
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0000000000000
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License Number State | ID
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