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General NPI Number Information
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NPI Number | 1063486132
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Entity Type | Individual
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Provider Name | KARL A HEBBE D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 1907 PARK AVE SUITE 202
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City | SOUTH PLAINFIELD
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State | NJ
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Zip | 07080-5530
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Country | US
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Telephone | 908-561-1313
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Fax | 908-561-3917
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Provider Business Mailing Address
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Address Line | 1825 NW CORPORATE BLVD STE 105
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City | BOCA RATON
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State | FL
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Zip | 33431-8554
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Country | US
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Telephone | 561-299-3667
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Fax | 561-299-3670
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MB68516
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 25MB06851600
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 2016-02413
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | OS14248
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License Number State | FL
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