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General NPI Number Information
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NPI Number | 1417139346
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Entity Type | Organization
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Legal Business Name | LLOBET MEDICAL GROUP PLLC
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 01/25/2012
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Provider Practice Location Address
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Address Line | 42084 STATE HIGHWAY 28
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City | MARGARETVILLE
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State | NY
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Zip | 12455-2820
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Country | US
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Telephone | 845-586-3888
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Fax | 646-626-7555
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Provider Business Mailing Address
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Address Line | PO BOX 6001
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City | ASTORIA
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State | NY
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Zip | 11106-0001
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Country | US
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Telephone | 347-468-2592
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Fax | 646-626-7555
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. PAUL STEVEN LLOBET
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Credential | M.D.
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Telephone | 347-468-2592
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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 | 242675
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License Number State | NY
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