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General NPI Number Information
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NPI Number | 1912712928
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Entity Type | Individual
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Provider Name | CLINTON TYLER HOBBS AGPCNP-C
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Gender | Male
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Dates
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Enumeration Date | 02/08/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | DUKE CANCER CENTER CLINIC 3-1 20 DUKE MEDICINE CIRCLE
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City | DURHAM
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State | NC
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Zip | 27710-2000
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Country | US
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Telephone | 919-684-5301
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Fax | 919-661-1697
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Provider Business Mailing Address
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Address Line | 1108 MERRION AVE APT 308
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City | DURHAM
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State | NC
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Zip | 27703-0538
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Country | US
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Telephone | 910-620-9576
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5022211
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License Number State | NC
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