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General NPI Number Information
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NPI Number | 1053843631
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Entity Type | Individual
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Provider Name | MARY R HOBBS PA
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Gender | Female
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Dates
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Enumeration Date | 04/01/2017
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Last Update Date | 05/10/2017
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Provider Practice Location Address
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Address Line | 1416 E MATTHEWS AVE
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City | JONESBORO
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State | AR
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Zip | 72401-4362
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Country | US
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Telephone | 870-932-1920
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Fax |
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Provider Business Mailing Address
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Address Line | 1416 E MATTHEWS AVE SUITE 200
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City | JONESBORO
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State | AR
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Zip | 72401-4362
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Country | US
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Telephone | 870-932-1820
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Fax | 870-972-6712
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PA-710
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License Number State | AR
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