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General NPI Number Information
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NPI Number | 1144228206
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Entity Type | Individual
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Provider Name | LENNIE HOBENSON
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Gender | Male
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 05/28/2023
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Provider Practice Location Address
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Address Line | 1115 OCEAN PKWY 1ST FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11230-4073
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Country | US
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Telephone | 718-252-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 1762 MCDONALD AVE
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City | BROOKLYN
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State | NY
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Zip | 11230-6907
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Country | US
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Telephone | 646-515-9968
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Fax | 718-252-5010
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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 | 210050
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License Number State | NY
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