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General NPI Number Information
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NPI Number | 1376683599
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Entity Type | Individual
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Provider Name | D. BRADLEY BOBBITT M.D,.
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Gender | Male
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 12/12/2013
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Provider Practice Location Address
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Address Line | 8087 WASHINGTON VILLAGE DR SUITE 120
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City | WASHINGTON TOWNSHIP
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State | OH
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Zip | 45458-1840
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Country | US
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Telephone | 937-432-9669
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Fax | 937-432-9694
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Provider Business Mailing Address
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Address Line | 8087 WASHINGTON VILLAGE DR SUITE 120
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City | WASHINGTON TOWNSHIP
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State | OH
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Zip | 45458-1840
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Country | US
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Telephone | 937-432-9669
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Fax | 937-432-9694
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 35-07-9259-B
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License Number State | OH
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