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General NPI Number Information
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NPI Number | 1740825405
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Entity Type | Organization
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Legal Business Name | BOBDE PEDIATRICS, PLLC
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Dates
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Enumeration Date | 11/16/2019
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Last Update Date | 11/16/2019
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Provider Practice Location Address
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Address Line | 970 N BROADWAY STE 303
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City | YONKERS
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State | NY
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Zip | 10701-1311
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Country | US
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Telephone | 914-966-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 970 N BROADWAY STE 303
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City | YONKERS
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State | NY
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Zip | 10701-1311
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Country | US
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Telephone | 914-966-1900
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Fax | 914-966-0028
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELIZABETH PATSY BOBDE
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Credential | MD
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Telephone | 914-527-3154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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