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General NPI Number Information
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NPI Number | 1508087461
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Entity Type | Organization
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Legal Business Name | MICHAEL T. COBBE, DDS, IIPA
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5456 SPRING HILL DR
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City | SPRING HILL
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State | FL
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Zip | 34606-4559
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Country | US
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Telephone | 352-666-1400
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Fax | 352-666-0600
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Provider Business Mailing Address
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Address Line | 2707 TAMPA RD
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City | PALM HARBOR
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State | FL
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Zip | 34684-3312
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Country | US
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Telephone | 727-785-6521
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Fax | 727-785-6237
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MICHAEL TIMOTHY COBBE
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Credential | DDS
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Telephone | 727-785-6521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN7557
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License Number State | FL
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