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General NPI Number Information
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NPI Number | 1790120459
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Entity Type | Individual
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Provider Name | LINNEA L HOOKER CMT, AS
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Gender | Female
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Dates
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Enumeration Date | 05/07/2013
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Last Update Date | 12/12/2019
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Provider Practice Location Address
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Address Line | 1615 S MOJAVE RD
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City | LAS VEGAS
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State | NV
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Zip | 89104-4508
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Country | US
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Telephone | 702-572-7022
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Fax |
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Provider Business Mailing Address
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Address Line | 1615 S MOJAVE RD
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City | LAS VEGAS
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State | NV
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Zip | 89104-4508
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Country | US
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Telephone | 702-572-7022
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 076470
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 471670
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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