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General NPI Number Information
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NPI Number | 1679738157
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Entity Type | Individual
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Provider Name | ALEXANDER A BOBROV D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 02/26/2019
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Provider Practice Location Address
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Address Line | 829 BETHEL RD # 138
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City | COLUMBUS
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State | OH
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Zip | 43214-1903
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Country | US
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Telephone | 614-505-9112
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Fax |
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Provider Business Mailing Address
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Address Line | 730 W MARKET ST
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City | LIMA
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State | OH
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Zip | 45801-4602
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Country | US
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Telephone | 614-505-9112
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 6646621
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2011-00629
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 3047
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 5101020859
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 277772
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 009736
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License Number State | OH
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