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General NPI Number Information
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NPI Number | 1316932197
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Entity Type | Individual
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Provider Name | PAMELA G DOBSON DO
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Gender | Female
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Dates
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Enumeration Date | 09/16/2005
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Last Update Date | 08/24/2016
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Provider Practice Location Address
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Address Line | 211 N BROADWAY STE 103
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City | GREEN BAY
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State | WI
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Zip | 54303-2757
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Country | US
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Telephone | 920-445-0660
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Fax | 920-445-0661
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Provider Business Mailing Address
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Address Line | PO BOX 22481
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City | GREEN BAY
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State | WI
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Zip | 54305-2481
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Country | US
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Telephone | 920-445-0660
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Fax | 920-445-0661
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 27190021
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License Number State | WI
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