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General NPI Number Information
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NPI Number | 1841899887
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Entity Type | Individual
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Provider Name | MARGIE FAYE HOBERG NMD
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Gender | Female
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Dates
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Enumeration Date | 10/21/2020
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 15278 W BELL RD STE 103
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City | SURPRISE
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State | AZ
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Zip | 85374-3100
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Country | US
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Telephone | 602-432-4055
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Fax |
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Provider Business Mailing Address
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Address Line | 8706 N 58TH LN
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City | GLENDALE
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State | AZ
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Zip | 85302-4641
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Country | US
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Telephone | 479-409-7096
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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 | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 20-19110
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2083S0010X
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Taxonomy Name | Sports Medicine (Preventive Medicine) Physician
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License Number | 20-10110
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 20-19110
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License Number State | AZ
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