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General NPI Number Information
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NPI Number | 1871210989
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Entity Type | Individual
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Provider Name | TIA SIMONE HOBBS APRN
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Gender | Female
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Dates
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Enumeration Date | 10/20/2022
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 4325 SUN N LAKE BLVD STE 102
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City | SEBRING
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State | FL
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Zip | 33872-2171
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Country | US
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Telephone | 863-382-1663
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Fax | 863-386-0162
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Provider Business Mailing Address
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Address Line | 130 MEDICAL CENTER AVE
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City | SEBRING
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State | FL
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Zip | 33870-5463
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Country | US
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Telephone | 863-385-2606
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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 | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | RN9368231
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11022639
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License Number State | FL
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