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General NPI Number Information
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NPI Number | 1831214774
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Entity Type | Organization
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Legal Business Name | ANDREW BROBBEY MD INC
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 27900 EUCLID AVE
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City | EUCLID
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State | OH
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Zip | 44132-3539
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Country | US
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Telephone | 216-731-7110
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Fax | 216-731-7130
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Provider Business Mailing Address
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Address Line | PO BOX 22958
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City | CLEVELAND
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State | OH
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Zip | 44122-0958
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Country | US
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Telephone | 216-731-7110
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Fax | 216-731-7130
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW K. BROBBEY
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Credential | M.D.
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Telephone | 216-731-7110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35-083527B
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License Number State | OH
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