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General NPI Number Information
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NPI Number | 1124394168
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Entity Type | Organization
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Legal Business Name | HOBLEY HOME HEALTH
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Dates
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Enumeration Date | 03/23/2012
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Last Update Date | 12/11/2013
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Provider Practice Location Address
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Address Line | 281 TOWN POINTE WAY
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-3832
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Country | US
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Telephone | 757-775-3683
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Fax |
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Provider Business Mailing Address
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Address Line | 281 TOWN POINTE WAY
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-3832
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Country | US
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Telephone | 757-775-3683
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KATRINA JANELLE HOBLEY
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Credential | MA
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Telephone | 757-775-3983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 2783692012
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License Number State | VA
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