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General NPI Number Information
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NPI Number | 1265429450
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Entity Type | Individual
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Provider Name | ROBIN HOLLANDER-BOBO MD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2416 OCEAN AVE
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City | BROOKLYN
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State | NY
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Zip | 11229-3509
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Country | US
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Telephone | 718-332-0011
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Fax | 718-332-1855
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Provider Business Mailing Address
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Address Line | 2416 OCEAN AVE
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City | BROOKLYN
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State | NY
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Zip | 11229-3509
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Country | US
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Telephone | 718-332-0011
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Fax | 718-332-1855
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 196115
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License Number State | NY
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