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General NPI Number Information
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NPI Number | 1831160365
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Entity Type | Organization
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Legal Business Name | CAROLINE A. BOBBETT, DDS APC
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 8540 S. EASTERN AVENUE #120
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City | LAS VEGAS
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State | NV
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Zip | 89123-2847
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Country | US
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Telephone | 702-457-6787
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Fax | 702-457-3557
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Provider Business Mailing Address
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Address Line | 8540 S. EASTERN AVENUE #120
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City | LAS VEGAS
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State | NV
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Zip | 89123-2847
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Country | US
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Telephone | 702-457-6787
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Fax | 702-457-3557
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | CAROLINE A BOBBETT
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Credential | DDS
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Telephone | 702-457-6787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2351
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License Number State | NV
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