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General NPI Number Information
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NPI Number | 1558308205
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Entity Type | Individual
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Provider Name | NEIL D KOBROSKY MD
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Gender | Male
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 11/17/2009
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Provider Practice Location Address
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Address Line | 298 WASHINGTON ST ADDISON GILBERT HOSPITAL
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City | GLOUCESTER
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State | MA
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Zip | 01930
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Country | US
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Telephone | 978-283-4000
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Fax | 978-282-0663
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Provider Business Mailing Address
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Address Line | 85 EASTERN AVE
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City | GLOUCESTER
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State | MA
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Zip | 01930
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Country | US
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Telephone | 978-281-6890
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Fax | 978-281-0932
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 54501
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License Number State | MA
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