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General NPI Number Information
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NPI Number | 1841997749
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Entity Type | Individual
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Provider Name | BOBOLA DANIEL ABBE
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Gender | Male
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Dates
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Enumeration Date | 02/10/2023
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 275 RIVET ST
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City | NEW BEDFORD
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State | MA
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Zip | 02744-1000
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Country | US
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Telephone | 978-212-9583
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Fax |
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Provider Business Mailing Address
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Address Line | 275 RIVET ST
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City | NEW BEDFORD
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State | MA
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Zip | 02744-1000
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Country | US
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Telephone | 978-212-9583
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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 | 225XR0403X
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Taxonomy Name | Driving and Community Mobility Occupational Therapist
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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 | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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