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General NPI Number Information
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NPI Number | 1902989601
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Entity Type | Individual
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Provider Name | CAROL ELIZABETH HOOKER LCSW, CAC
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Gender | Female
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 3143 MAGIC HOLLOW BLVD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-3077
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Country | US
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Telephone | 757-385-4786
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Fax |
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Provider Business Mailing Address
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Address Line | 2936 LYNNHAVEN DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-1524
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Country | US
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Telephone | 757-496-9203
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904001781
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License Number State | VA
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