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General NPI Number Information
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NPI Number | 1275525446
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Entity Type | Individual
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Provider Name | STEVEN MARK KOBREN
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Gender | Male
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 488 GREAT NECK RD SUITE 300
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City | GREAT NECK
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State | NY
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Zip | 11021-4315
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Country | US
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Telephone | 516-482-6747
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Fax |
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Provider Business Mailing Address
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Address Line | 488 GREAT NECK RD SUITE 300
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City | GREAT NECK
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State | NY
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Zip | 11021-4315
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Country | US
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Telephone |
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Fax |
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 159005
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 159005
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License Number State | NY
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