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General NPI Number Information
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NPI Number | 1497333009
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Entity Type | Individual
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Provider Name | TRAVIS SACKETT DOBBIN MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 8 RICHLAND MEDICAL PARK DR STE 100
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City | COLUMBIA
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State | SC
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Zip | 29203-8006
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Country | US
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Telephone | 803-434-3800
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Fax |
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Provider Business Mailing Address
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Address Line | PRISMA HEALTH GME, 3555 HARDEN ST. EXTENSION 15 MEDICAL PARK, SECOND FLOOR
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City | COLUMBIA
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State | SC
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Zip | 29203
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Country | US
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Telephone | 803-434-6861
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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