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General NPI Number Information
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NPI Number | 1033655733
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Entity Type | Organization
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Legal Business Name | DOBBS PARK INPATIENT SERVICES LLC
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Dates
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Enumeration Date | 01/18/2017
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Last Update Date | 08/21/2019
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Provider Practice Location Address
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Address Line | 3901 S 7TH ST
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City | TERRE HAUTE
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State | IN
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Zip | 47802-5709
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Country | US
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Telephone | 469-401-2386
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 80163
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City | PHILADELPHIA
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State | PA
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Zip | 19101-1163
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Country | US
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Telephone | 954-838-2371
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | ANDREW MULVEY
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Credential | MD
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Telephone | 954-838-2371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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