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General NPI Number Information
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NPI Number | 1578720538
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Entity Type | Organization
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Legal Business Name | JOSEPH M HIBLER OD PC INC
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 02/19/2009
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Provider Practice Location Address
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Address Line | 15865 W MICHIGAN AVE
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City | MARSHALL
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State | MI
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Zip | 49068-9578
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Country | US
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Telephone | 269-781-6644
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Fax | 269-781-0130
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Provider Business Mailing Address
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Address Line | 15865 W MICHIGAN AVE
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City | MARSHALL
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State | MI
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Zip | 49068
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Country | US
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Telephone | 269-781-6644
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Fax | 269-781-0130
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH M. HIBLER
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Credential | O.D.
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Telephone | 269-781-6644
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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 | 4901002965
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License Number State | MI
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