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General NPI Number Information
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NPI Number | 1366793721
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Entity Type | Individual
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Provider Name | STEVEN JAMES HOBSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 60 HIGH ST
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City | LEWISTON
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State | ME
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Zip | 04240-7616
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Country | US
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Telephone | 207-795-3904
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Fax |
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Provider Business Mailing Address
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Address Line | 143 FLYING POINT RD
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City | FREEPORT
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State | ME
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Zip | 04032-6502
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Country | US
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Telephone | 617-429-1988
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD22395
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License Number State | ME
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