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NPI Code Detail

MEDICARE: JILL ANN HOOVER MA

MEDICARE:   JILL ANN HOOVER  MA
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
1235Z00000XSpeech-Language Pathologist0322337CO

General Provider Information

NPI Number : 1821317769
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL ANN HOOVER MA
Provider Business Mailing Address
First Line : 1225 W HIGH POINT LN
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-2805
Country : US
Telephone Number : 719-471-4859
Fax Number :
Provider Business Practice Location Address
First Line : 418 S WEBER ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-2127
Country : US
Telephone Number : 719-471-4859
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2010
Last Update Date : 05/17/2010

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Directions to “ JILL ANN HOOVER MA” Practice Location

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