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General NPI Number Information
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NPI Number | 1790778405
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Entity Type | Individual
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Provider Name | JEFFREY STEVEN DOBRO M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/26/2005
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 28 JACKSON AVE
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City | POMPTON PLAINS
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State | NJ
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Zip | 07444-1453
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Country | US
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Telephone | 973-835-2575
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Fax | 973-835-0531
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Provider Business Mailing Address
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Address Line | 18 SOUTHVIEW DR
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City | BOONTON
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State | NJ
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Zip | 07005-9428
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Country | US
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Telephone | 973-263-0372
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 25MA04148300
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License Number State | NJ
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