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General NPI Number Information
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NPI Number | 1710059241
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Entity Type | Individual
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Provider Name | PETER KOBES DDS
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 173 ASHLEY AVE, BSB 546
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City | CHARLESTON
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State | SC
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Zip | 29425
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Country | US
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Telephone | 843-792-4453
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Fax | 843-792-1953
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Provider Business Mailing Address
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Address Line | 173 ASHLEY AVE, BSB 546
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City | CHARLESTON
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State | SC
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Zip | 29425
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Country | US
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Telephone | 843-792-4453
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Fax | 843-792-1953
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | SC0013
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License Number State | SC
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