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General NPI Number Information
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NPI Number | 1255316360
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Entity Type | Individual
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Provider Name | HERMAN BRYAN COBB D.D.S.,M.S.
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Gender | Male
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Dates
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Enumeration Date | 12/12/2005
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 2600 OAKCREST AVE BLDG A
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City | GREENSBORO
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State | NC
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Zip | 27408-1934
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Country | US
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Telephone | 336-288-9445
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Fax | 336-288-9491
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Provider Business Mailing Address
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Address Line | 210 STAUNTON DR
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City | GREENSBORO
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State | NC
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Zip | 27410-6065
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Country | US
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Telephone | 336-292-5912
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Fax | 336-288-9491
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 4331
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | NC 4331
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License Number State | NC
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