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NPI 1699703678

NPI 1699703678 : BOB LEE WEBB M.D. : HENDERSONVILLE, NC

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General NPI Number Information
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    NPI Number           |    1699703678
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    Entity Type          |    Individual 
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    Provider Name        |    BOB LEE WEBB M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/29/2006
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    Last Update Date     |    08/13/2019
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Provider Practice Location Address
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    Address Line         |    510 BALSAM RD 
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    City                 |    HENDERSONVILLE
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    State                |    NC
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    Zip                  |    28792-5703
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    Country              |    US
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    Telephone            |    828-693-4431
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    571 S ALLEN RD 
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    City                 |    FLAT ROCK
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    State                |    NC
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    Zip                  |    28731-9447
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    Country              |    US
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    Telephone            |    828-692-6178
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    Fax                  |    855-356-3998
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    35224
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    License Number State |    NC
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