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General NPI Number Information
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NPI Number | 1528221652
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Entity Type | Individual
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Provider Name | HOLLY HOBBS SHEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 5323 4TH AVENUE CIR E
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City | BRADENTON
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State | FL
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Zip | 34208-5623
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Country | US
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Telephone | 941-745-5115
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Fax | 941-567-1001
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Provider Business Mailing Address
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Address Line | 5221 PARAMOUNT PKWY STE 220
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City | MORRISVILLE
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State | NC
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Zip | 27560-5490
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Country | US
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Telephone |
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Fax | 941-567-1001
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD61347243
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD61347243
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME 113420
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License Number State | FL
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