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General NPI Number Information
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NPI Number | 1144652280
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Entity Type | Organization
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Legal Business Name | RYAN SOBEL MD PC
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Dates
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Enumeration Date | 07/31/2013
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Last Update Date | 09/09/2013
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Provider Practice Location Address
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Address Line | 111 BROADWAY SUITE 1302
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City | NEW YORK
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State | NY
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Zip | 10006-1901
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Country | US
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Telephone | 917-362-4223
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Fax |
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Provider Business Mailing Address
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Address Line | 43 LAFAYETTE AVE
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City | HADDONFIELD
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State | NJ
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Zip | 08033-3307
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Country | US
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Telephone | 917-362-4223
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. RYAN SOBEL
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Credential | MD
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Telephone | 917-362-4223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 222228
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License Number State | NY
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