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General NPI Number Information
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NPI Number | 1447226006
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Entity Type | Individual
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Provider Name | MELVYN A. LOBO MD
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Gender | Male
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 09/21/2012
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Provider Practice Location Address
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Address Line | 1960 POINTE WEST DR SUITES 101 & 102
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City | VERO BEACH
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State | FL
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Zip | 32966-1302
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Country | US
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Telephone | 772-564-7828
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Fax | 772-564-6107
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Provider Business Mailing Address
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Address Line | 1960 POINTE WEST DR SUITES 101 & 102
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City | VERO BEACH
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State | FL
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Zip | 32966-1302
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Country | US
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Telephone | 772-564-7828
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Fax | 772-564-6107
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 223096-1
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License Number State | NY
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