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General NPI Number Information
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NPI Number | 1144221334
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Entity Type | Individual
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Provider Name | CHARLES F HOBAICA DPM
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Gender | Male
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 2315 GENESEE ST
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City | UTICA
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State | NY
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Zip | 13501-6107
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Country | US
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Telephone | 315-735-0237
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Fax | 315-732-8695
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Provider Business Mailing Address
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Address Line | 2315 GENESEE ST
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City | UTICA
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State | NY
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Zip | 13501-6107
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Country | US
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Telephone | 315-735-0237
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Fax | 315-732-8695
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 003503-1
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License Number State | NY
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