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General NPI Number Information
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NPI Number | 1396337986
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Entity Type | Individual
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Provider Name | ABBEY HOBART APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/05/2021
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 3530 WESTGATE STE D-432
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City | FAIRVIEW PARK
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State | OH
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Zip | 44126-1300
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Country | US
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Telephone | 440-356-4265
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Fax |
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Provider Business Mailing Address
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Address Line | 124 WOODHILL DR
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City | AMHERST
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State | OH
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Zip | 44001-1614
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Country | US
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Telephone | 440-731-0289
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0028289
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License Number State | OH
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