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General NPI Number Information
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NPI Number | 1841258571
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Entity Type | Individual
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Provider Name | RICHARD RODERICK BOBE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 02/03/2016
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Provider Practice Location Address
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Address Line | 15340 JOG RD STE 202
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City | DELRAY BEACH
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State | FL
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Zip | 33446-2170
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Country | US
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Telephone | 561-330-4177
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Fax | 561-330-4179
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Provider Business Mailing Address
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Address Line | 9363 LAKE SERENA DR
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City | BOCA RATON
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State | FL
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Zip | 33496-6509
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Country | US
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Telephone | 561-477-5765
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME95575
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License Number State | FL
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