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General NPI Number Information
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NPI Number | 1437657350
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Entity Type | Organization
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Legal Business Name | ASHLEY E. HOBAN DMD PLLC
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Dates
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Enumeration Date | 01/25/2018
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Last Update Date | 01/25/2018
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Provider Practice Location Address
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Address Line | 653 N TOWN CENTER DR STE 606
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City | LAS VEGAS
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State | NV
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Zip | 89144-0520
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Country | US
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Telephone | 702-838-9013
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Fax | 702-838-9157
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Provider Business Mailing Address
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Address Line | 653 N TOWN CENTER DR STE 606
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City | LAS VEGAS
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State | NV
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Zip | 89144-0520
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Country | US
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Telephone | 702-838-9013
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Fax | 702-838-9157
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Authorized Official
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Title or Position | MANAGER
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Name | JOSEPH HOBAN
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Credential |
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Telephone | 702-838-9013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | S6-105
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License Number State | NV
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