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General NPI Number Information
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NPI Number | 1194985606
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Entity Type | Individual
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Provider Name | TRAVIS ROSWELL HOBART MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 10/17/2013
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Provider Practice Location Address
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Address Line | 3448 RTE 31 BELGIUM MEADOWS
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City | BALDWINSVILLE
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State | NY
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Zip | 13027-9231
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Country | US
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Telephone | 315-622-6595
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Fax | 315-622-3298
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Provider Business Mailing Address
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Address Line | 3448 RTE 31 BELGIUM MEADOWS
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City | BALDWINSVILLE
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State | NY
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Zip | 13027-9231
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Country | US
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Telephone | 315-622-6595
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Fax | 315-622-3298
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 270683
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 270683
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD037582
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License Number State | DC
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