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General NPI Number Information
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NPI Number | 1326695735
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Entity Type | Individual
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Provider Name | DELL MARIE HOBLER
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Gender | Female
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Dates
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Enumeration Date | 08/20/2019
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Last Update Date | 08/20/2019
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Provider Practice Location Address
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Address Line | 11041 N 137TH ST
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City | WAVERLY
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State | NE
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Zip | 68462-1022
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Country | US
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Telephone | 402-786-2626
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Fax |
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Provider Business Mailing Address
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Address Line | 7710 LILLIAN AVE
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City | LA VISTA
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State | NE
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Zip | 68128-3934
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Country | US
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Telephone | 402-917-7916
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 241
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License Number State | NE
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