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NPI Code Detail

MEDICARE: DANA HOPKINS

MEDICARE: DANA HOPKINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1619412814
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA HOPKINS
Provider Business Mailing Address
First Line : 1509 CLAYSHIRE DR
Second Line :
City : MURRAY
State : KY
Zip : 42071-3207
Country : US
Telephone Number : 270-908-0461
Fax Number :
Provider Business Practice Location Address
First Line : 6201 BENTON RD
Second Line :
City : PADUCAH
State : KY
Zip : 42003-1304
Country : US
Telephone Number : 270-908-0461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2016
Last Update Date : 12/23/2016

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