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General NPI Number Information
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NPI Number | 1376587576
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Entity Type | Individual
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Provider Name | VINCENT G LOBO DO
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 12/19/2022
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Provider Practice Location Address
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Address Line | 205 SHAW AVE
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City | HARRINGTON
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State | DE
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Zip | 19952-1220
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Country | US
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Telephone | 302-398-8704
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Fax | 302-398-8818
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Provider Business Mailing Address
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Address Line | PO BOX 1036
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City | BETHANY BEACH
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State | DE
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Zip | 19930-1036
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Country | US
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Telephone | 302-242-6352
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C2-0000334
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License Number State | DE
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