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General NPI Number Information
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NPI Number | 1134509243
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Entity Type | Individual
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Provider Name | MILBURN WHEATLEY HOBSON M.D
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Gender | Male
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 06/03/2015
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Provider Practice Location Address
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Address Line | RESIDENCE 5467 W. 85 TER.
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66207
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Country | US
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Telephone | 913-381-1387
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Fax |
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Provider Business Mailing Address
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Address Line | RESIDENCE 5467 W. 85TH TER.
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66207
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Country | US
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Telephone | 913-381-1387
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Fax |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 04-10879
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License Number State | KS
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