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General NPI Number Information
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NPI Number | 1518295583
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Entity Type | Organization
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Legal Business Name | BARRY J SOBEL MD LLC
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Dates
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Enumeration Date | 12/02/2009
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Last Update Date | 09/27/2011
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Provider Practice Location Address
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Address Line | 1015 COLLEGE DR
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City | MADISONVILLE
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State | KY
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Zip | 42431-9189
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Country | US
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Telephone | 270-825-1328
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Fax | 270-825-0766
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Provider Business Mailing Address
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Address Line | 441 MEDITERRANEAN WAY
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City | GRAND JUNCTION
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State | CO
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Zip | 81507
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Country | US
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Telephone | 970-424-0318
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Fax | 270-825-0766
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Authorized Official
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Title or Position | MEMBER
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Name | DR. BARRY JAY SOBEL
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Credential | MD
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Telephone | 970-216-5807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State | KY
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