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General NPI Number Information
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NPI Number | 1477799351
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Entity Type | Organization
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Legal Business Name | ALEX KOBB, D.D.S., PA
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Dates
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Enumeration Date | 12/26/2008
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Last Update Date | 12/26/2008
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Provider Practice Location Address
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Address Line | 3405 PINEWALK DR N #106
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City | MARGATE
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State | FL
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Zip | 33063-7823
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Country | US
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Telephone | 954-755-8232
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Fax | 954-755-8232
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Provider Business Mailing Address
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Address Line | 3405 PINEWALK DR N #106
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City | MARGATE
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State | FL
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Zip | 33063-7823
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Country | US
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Telephone | 954-755-8232
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Fax | 954-755-8232
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEX KOBB
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Credential | D.D.S.
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Telephone | 954-755-8232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | DN3787
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License Number State | FL
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