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General NPI Number Information
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NPI Number | 1649253709
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Entity Type | Individual
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Provider Name | ANDREW JOHN DOBO PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 10/08/2013
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Provider Practice Location Address
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Address Line | 1515 US HIGHWAY 1 SUITE 201
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City | SEBASTIAN
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State | FL
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Zip | 32958-1611
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Country | US
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Telephone | 772-589-7680
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Fax | 772-589-9294
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Provider Business Mailing Address
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Address Line | 1515 US HIGHWAY 1 SUITE 201
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City | SEBASTIAN
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State | FL
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Zip | 32958-1612
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Country | US
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Telephone | 772-589-7680
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Fax | 772-589-9294
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY6916
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License Number State | FL
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