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NPI 1467465328

NPI 1467465328 : HOBBS OPTOMETRY, PA : MOORESVILLE, NC

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General NPI Number Information
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    NPI Number           |    1467465328
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOBBS OPTOMETRY, PA 
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Dates
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    Enumeration Date     |    08/14/2006
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    Last Update Date     |    02/02/2010
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Provider Practice Location Address
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    Address Line         |    594 RIVER HIGHWAY 
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    City                 |    MOORESVILLE
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    State                |    NC
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    Zip                  |    28117-6829
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    Country              |    US
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    Telephone            |    704-662-3909
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    Fax                  |    704-662-3909
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Provider Business Mailing Address
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    Address Line         |    2435 PLANTATION CENTER DRIVE SUITE 120
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    City                 |    MATTHEWS
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    State                |    NC
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    Zip                  |    28105-5147
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    Country              |    US
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    Telephone            |    704-662-3909
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    Fax                  |    704-662-3909
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     BENJAMIN L HOBBS 
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    Credential           |    OD
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    Telephone            |    704-708-5659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    1905
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    License Number State |    NC
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