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General NPI Number Information
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NPI Number | 1821387325
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Entity Type | Individual
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Provider Name | SHARON MARIE HOOPER PA
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Gender | Female
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 1665 HERLONG CT STE C
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City | ROCK HILL
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State | SC
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Zip | 29732-1193
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Country | US
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Telephone | 704-335-9794
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Fax |
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Provider Business Mailing Address
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Address Line | 200 HERLONG AVE S STE E
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City | ROCK HILL
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State | SC
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Zip | 29732-1182
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Country | US
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Telephone | 803-366-5500
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1644
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0010-02811
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License Number State | NC
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