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General NPI Number Information
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NPI Number | 1467565036
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Entity Type | Individual
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Provider Name | PEGGY SUE HOBUS APRN
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Gender | Female
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 2510 BELLEVUE MEDICAL CENTER DR STE 145A
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City | BELLEVUE
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State | NE
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Zip | 68123-1556
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Country | US
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Telephone | 402-779-7207
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Fax | 402-779-7210
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Provider Business Mailing Address
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Address Line | 302 N CHESTNUT ST PO BOX 342
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City | AVOCA
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State | IA
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Zip | 51521-5142
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Country | US
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Telephone | 402-680-9564
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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 | A081496
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License Number State | IA
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