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General NPI Number Information
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NPI Number | 1659167377
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Entity Type | Individual
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Provider Name | HOLLY HOBGOOD RN
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Gender | Female
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 600 MARY ST
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City | EVANSVILLE
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State | IN
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Zip | 47710-1658
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Country | US
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Telephone | 812-450-3405
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Fax |
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Provider Business Mailing Address
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Address Line | 6899 SHARON RD
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City | NEWBURGH
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State | IN
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Zip | 47630-1932
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Country | US
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Telephone | 812-629-0050
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 28128664A
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License Number State | IN
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