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General NPI Number Information
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NPI Number | 1740339282
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Entity Type | Individual
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Provider Name | JEFFREY KOBETZ RPH,CPH
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 20200 NW 8TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-3458
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Country | US
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Telephone | 954-439-4884
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Fax | 954-431-4665
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Provider Business Mailing Address
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Address Line | 20200 NW 8TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-3458
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Country | US
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Telephone | 954-439-4884
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Fax | 954-431-4665
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16862
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License Number State | FL
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