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General NPI Number Information
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NPI Number | 1740663798
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Entity Type | Individual
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Provider Name | JORDAN P HOBBS CNP
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Gender | Male
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Dates
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Enumeration Date | 07/08/2015
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Last Update Date | 01/17/2022
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Provider Practice Location Address
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Address Line | 1652 GREENVIEW DR SW STE 160
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City | ROCHESTER
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State | MN
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Zip | 55902-4326
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Country | US
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Telephone | 507-328-0634
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Fax | 612-567-4497
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Provider Business Mailing Address
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Address Line | 1652 GREENVIEW DR SW STE 160
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City | ROCHESTER
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State | MN
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Zip | 55902-4326
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Country | US
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Telephone | 507-328-0634
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Fax | 612-567-4497
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3965
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | CNP3965
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License Number State | MN
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