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General NPI Number Information
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NPI Number | 1376795302
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Entity Type | Organization
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Legal Business Name | STEWART M. DOBBINS II MD, PA
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 12554 S JOHN YOUNG PKWY SUITE 102
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City | ORLANDO
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State | FL
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Zip | 32837
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Country | US
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Telephone | 407-856-9966
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Fax | 407-816-2214
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Provider Business Mailing Address
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Address Line | 12554 S JOHN YOUNG PKWY SUITE 102
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City | ORLANDO
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State | FL
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Zip | 32837-4004
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Country | US
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Telephone | 407-856-9966
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Fax | 407-816-2214
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. STEWART M DOBBINS II
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Credential | M.D.
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Telephone | 407-856-9966
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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 | ME69272
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License Number State | FL
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