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General NPI Number Information
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NPI Number | 1588958649
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Entity Type | Organization
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Legal Business Name | BOBECORP INC
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Dates
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Enumeration Date | 06/07/2011
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Last Update Date | 07/21/2011
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Provider Practice Location Address
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Address Line | 5210 LINTON BLVD STE 304
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6542
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Country | US
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Telephone | 561-212-2021
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Fax |
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Provider Business Mailing Address
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Address Line | 9363 LAKE SERENA DR
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City | BOCA RATON
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State | FL
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Zip | 33496-6509
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD RODERICK BOBE
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Credential | M.D.
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Telephone | 561-212-2021
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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 | ME95575
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License Number State | FL
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