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General NPI Number Information
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NPI Number | 1598147472
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Entity Type | Organization
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Legal Business Name | HOBBSEY ENTERPRISES, LLC
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Dates
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Enumeration Date | 06/26/2015
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Last Update Date | 06/26/2015
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Provider Practice Location Address
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Address Line | 45 N CANFIELD NILES RD STE 500
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City | AUSTINTOWN
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State | OH
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Zip | 44515-2343
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Country | US
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Telephone | 330-953-3238
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Fax | 330-953-3239
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Provider Business Mailing Address
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Address Line | 45 N CANFIELD NILES RD STE 500
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City | AUSTINTOWN
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State | OH
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Zip | 44515
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Country | US
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Telephone | 330-953-3238
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Fax | 330-953-3239
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | EDWARD M HOBBS
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Credential | D.O.
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Telephone | 330-953-3238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34001465
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License Number State | OH
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