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General NPI Number Information
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NPI Number | 1093903288
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Entity Type | Organization
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Legal Business Name | ACCESS MD P L
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 10/30/2014
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Provider Practice Location Address
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Address Line | 4202 SILVER FOX DR
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City | NAPLES
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State | FL
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Zip | 34119-8596
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Country | US
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Telephone | 239-260-5307
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Fax |
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Provider Business Mailing Address
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Address Line | 4202 SILVER FOX DR
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City | NAPLES
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State | FL
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Zip | 34119-8596
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Country | US
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Telephone | 239-260-5307
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | PAUL JOSEPH HOBAICA
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Credential |
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Telephone | 239-260-5307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0077961
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License Number State | FL
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