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General NPI Number Information
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NPI Number | 1407705114
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Entity Type | Individual
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Provider Name | TERESA LYNN BOBST
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Gender | Female
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 149 E MAIN ST
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City | CARDINGTON
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State | OH
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Zip | 43315-1115
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Country | US
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Telephone | 614-897-3225
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Fax |
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Provider Business Mailing Address
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Address Line | 5790 TOWNSHIP ROAD 122
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City | MOUNT GILEAD
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State | OH
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Zip | 43338-9524
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Country | US
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Telephone | 614-315-4316
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | OH
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