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NPI 1528379773

NPI 1528379773 : PAMELA F. HOBART NP : GENEVA, NY

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General NPI Number Information
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    NPI Number           |    1528379773
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    Entity Type          |    Individual 
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    Provider Name        |    PAMELA F. HOBART NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/23/2010
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    Last Update Date     |    06/23/2010
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Provider Practice Location Address
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    Address Line         |    200 N MAIN ST STE 203 GENEVA GENERAL SURGICAL ASSOCIATES
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    City                 |    GENEVA
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    State                |    NY
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    Zip                  |    14456-2365
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    Country              |    US
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    Telephone            |    315-787-5383
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    200 N MAIN ST STE 203 GENEVA GENERAL SURGICAL ASSOCIATES
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    City                 |    GENEVA
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    State                |    NY
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    Zip                  |    14456-2365
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    Country              |    US
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    Telephone            |    315-787-5383
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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        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    F3053991
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    License Number State |    NY
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