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General NPI Number Information
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NPI Number | 1780164863
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Entity Type | Individual
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Provider Name | TALORE A HOOKER PA-C
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Gender | Male
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Dates
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Enumeration Date | 08/17/2018
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 698 MULLICA HILL RD STE 320
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City | MULLICA HILL
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State | NJ
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Zip | 08062-4453
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Country | US
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Telephone | 856-507-2783
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Fax | 856-221-4138
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Provider Business Mailing Address
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Address Line | 134 BRIDGETON PIKE STE C
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City | MULLICA HILL
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State | NJ
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Zip | 08062-2616
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Country | US
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Telephone | 856-507-2783
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Fax | 856-221-4138
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA060034
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License Number State | PA
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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 | 25MP00871100
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License Number State | NJ
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