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General NPI Number Information
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NPI Number | 1598069874
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Entity Type | Individual
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Provider Name | MICHAEL NEIL DUBROFF D.O.
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Gender | Male
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Dates
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Enumeration Date | 12/31/2010
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Last Update Date | 12/31/2010
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Provider Practice Location Address
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Address Line | 301 MAIN ST UNIT 8-C
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-5032
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Country | US
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Telephone | 415-525-4369
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Fax |
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Provider Business Mailing Address
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Address Line | 301 MAIN ST UNIT 8-C
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-5032
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Country | US
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Telephone | 415-525-4369
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | OS003335L
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License Number State | PA
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