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NPI 1609269059

NPI 1609269059 : ROBERT E SOBOL M.D. : RANCHO SANTA FE, CA

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General NPI Number Information
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    NPI Number           |    1609269059
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT E SOBOL M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/10/2015
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    Last Update Date     |    08/10/2020
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Provider Practice Location Address
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    Address Line         |    5827 VIA DE LA CUMBRE 
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    City                 |    RANCHO SANTA FE
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    State                |    CA
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    Zip                  |    92067-1574
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    Country              |    US
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    Telephone            |    858-756-5437
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    Fax                  |    858-201-5145
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1574 
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    City                 |    RANCHO SANTA FE
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    State                |    CA
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    Zip                  |    92067-1574
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    Country              |    US
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    Telephone            |    858-201-5145
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    Fax                  |    858-201-5145
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    G42623
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    License Number State |    CA
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