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Individual
DR. TARA HOOK
Active
Individual
DR. TARA HOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40303
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403030
—
SC
01
—
5677
MEDICARE PTAN
SC
05
—
GP4479
—
SC
05
—
GP5405
—
SC
01
—
SCA531
MEDICARE
SC
Enumeration date
05/02/2013
Last updated
07/24/2026
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