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Individual
TODD L VANDEN HOEK
Active
Individual
TODD L VANDEN HOEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
0101046710
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065K2
BLUE CROSS BLUE SHIELD NC
NC
01
—
082480
BLUE CROSS BLUE SHIELD VA
NC
01
—
17320
OPTIMA
—
01
—
251490
MAMSI/MDIPA
—
01
—
3900570
OPTIMUM CHOICE
—
05
—
6004547
—
VA
05
—
89065K2
—
NC
01
—
9300337797
MEDICARE RAILROAD
—
Enumeration date
09/08/2006
Last updated
12/19/2014
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