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General NPI Number Information
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NPI Number | 1518135896
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Entity Type | Organization
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Legal Business Name | BARRY F DOBIES MD PA
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 09/28/2012
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Provider Practice Location Address
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Address Line | 1301 PLANTATION ISLAND DR S SUITE 104A
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City | ST AUGUSTINE
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State | FL
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Zip | 32080-3109
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Country | US
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Telephone | 904-471-4441
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Fax | 904-471-4489
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Provider Business Mailing Address
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Address Line | 1301 PLANTATION ISLAND DRIVE SUITE 104A
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City | ST. AUGUSTINE
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State | FL
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Zip | 32080-3109
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Country | US
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Telephone | 904-471-4441
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Fax | 904-471-4489
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Authorized Official
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Title or Position | BILLING
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Name | DOT M AEPPLI
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Credential |
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Telephone | 904-471-4441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME63544
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License Number State | FL
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