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General NPI Number Information
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NPI Number | 1093715518
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Entity Type | Individual
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Provider Name | HOBART DON BLAIR II MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2005
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 105 S LOCUST ST
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City | TREMONT
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State | IL
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Zip | 61568-0187
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Country | US
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Telephone | 309-925-2961
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Fax | 309-925-4221
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Provider Business Mailing Address
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Address Line | 105 S LOCUST ST PO BOX 187
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City | TREMONT
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State | IL
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Zip | 61568-0187
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Country | US
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Telephone | 309-925-2961
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Fax | 309-925-4221
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036-049155
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License Number State | IL
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