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General NPI Number Information
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NPI Number | 1871565465
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Entity Type | Individual
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Provider Name | HALDEN WAYNE HOOPER JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 1156 NASHVILLE PIKE
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City | GALLATIN
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State | TN
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Zip | 37066-3110
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Country | US
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Telephone | 615-989-1088
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Fax | 615-823-2060
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Provider Business Mailing Address
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Address Line | 1156 NASHVILLE PIKE
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City | GALLATIN
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State | TN
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Zip | 37066-3110
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Country | US
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Telephone | 615-989-1088
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Fax | 615-823-2060
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 14654
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License Number State | TN
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