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General NPI Number Information
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NPI Number | 1417907304
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Entity Type | Individual
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Provider Name | JOSE V COBA MD
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 04/06/2016
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Provider Practice Location Address
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Address Line | 4800 N STATE ROAD 7 SUITE F103
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5811
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Country | US
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Telephone | 954-372-9440
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Fax | 954-513-4641
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Provider Business Mailing Address
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Address Line | 304 INDIAN TRCE SUITE 191
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City | WESTON
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State | FL
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Zip | 33326-2996
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Country | US
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Telephone | 954-372-9440
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Fax | 954-513-4641
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME90693
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License Number State | FL
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