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NPI 1861422297

NPI 1861422297 : HEATHER HOBBS LEE PA-C : HIGH SPRINGS, FL

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General NPI Number Information
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    NPI Number           |    1861422297
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    Entity Type          |    Individual 
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    Provider Name        |    HEATHER HOBBS LEE PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/03/2006
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    Last Update Date     |    04/28/2025
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Provider Practice Location Address
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    Address Line         |    16916 NW US HIGHWAY 441 
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    City                 |    HIGH SPRINGS
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    State                |    FL
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    Zip                  |    32643-8102
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    Country              |    US
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    Telephone            |    386-454-0568
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    Fax                  |    352-224-7899
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Provider Business Mailing Address
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    Address Line         |    23476 NW 186TH AVE 
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    City                 |    HIGH SPRINGS
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    State                |    FL
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    Zip                  |    32643-0673
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    Country              |    US
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    Telephone            |    386-454-0698
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    Fax                  |    386-454-0690
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PA9101298
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    License Number State |    FL
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