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General NPI Number Information
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NPI Number | 1114929254
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Entity Type | Individual
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Provider Name | JAMES CHARLES BOBROW M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 12/24/2019
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Provider Practice Location Address
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Address Line | 121 HUNTER AVE SUITE 102
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City | CLAYTON
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State | MO
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Zip | 63124-2000
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Country | US
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Telephone | 314-721-1140
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Fax | 314-721-1863
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Provider Business Mailing Address
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Address Line | 121 HUNTER AVE SUITE 102
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City | CLAYTON
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State | MO
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Zip | 63124-2000
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Country | US
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Telephone | 314-721-1140
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Fax | 314-721-1863
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | R5491
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License Number State | MO
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