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General NPI Number Information
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NPI Number | 1194091652
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Entity Type | Organization
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Legal Business Name | DEAN I, DOBBIN M.D. P.C.
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Dates
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Enumeration Date | 03/29/2012
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 2001 MARCUS AVE SUITE W75
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-2061
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Country | US
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Telephone | 516-488-2757
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Fax | 516-488-3940
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Provider Business Mailing Address
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Address Line | 2001 MARCUS AVE SUITE W75
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-2061
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Country | US
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Telephone | 516-488-2757
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Fax | 516-488-3940
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DEAN I DOBBIN
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Credential | M.D.
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Telephone | 516-488-2757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 106268
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License Number State | NY
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