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General NPI Number Information
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NPI Number | 1386688554
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Entity Type | Individual
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Provider Name | DONALD KEITH COBB MD
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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 | 11/10/2020
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Provider Practice Location Address
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Address Line | 89 INTERCHANGE DR
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City | RICHMOND HILL
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State | GA
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Zip | 31324-7661
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Country | US
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Telephone | 912-756-4740
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Fax | 912-756-4740
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Provider Business Mailing Address
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Address Line | 89 INTERCHANGE DR
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City | RICHMOND HILL
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State | GA
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Zip | 31324-7661
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Country | US
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Telephone | 912-756-2292
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Fax | 912-756-2289
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 039759
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License Number State | GA
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