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General NPI Number Information
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NPI Number | 1780542431
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Entity Type | Individual
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Provider Name | MALLORY OLIVER HOOPINGARNER RN
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Gender | Female
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 2400 HOSPITAL DR STE 370
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City | BOSSIER CITY
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State | LA
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Zip | 71111-2391
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Country | US
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Telephone | 318-631-9121
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Fax | 318-549-0240
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Provider Business Mailing Address
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Address Line | PO BOX 38150
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City | SHREVEPORT
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State | LA
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Zip | 71133-8150
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Country | US
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Telephone | 318-631-9121
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Fax | 318-549-0240
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN150315
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License Number State | LA
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