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General NPI Number Information
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NPI Number | 1649357955
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Entity Type | Organization
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Legal Business Name | LINCOLN FAMILY PRACTICE ASSOCIATES INC.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 10/03/2018
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Provider Practice Location Address
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Address Line | 160 GATEWAY DR STE 110
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City | LINCOLN
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State | CA
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Zip | 95648-3319
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Country | US
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Telephone | 916-434-1623
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Fax | 916-434-1625
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Provider Business Mailing Address
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Address Line | 160 GATEWAY DR STE 110
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City | LINCOLN
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State | CA
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Zip | 95648-3319
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Country | US
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Telephone | 916-434-1623
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Fax | 916-434-1625
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Authorized Official
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Title or Position | SHARE HOLDER
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Name | JOSEPH D HOBBS
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Credential | P.A.-C
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Telephone | 916-434-1623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA13367
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License Number State | CA
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