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General NPI Number Information
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NPI Number | 1861663601
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Entity Type | Organization
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Legal Business Name | KYLE L. BOBINET, D.D.S. PLC
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 132 MAIN STREET
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City | OSAGE
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State | IA
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Zip | 50461
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Country | US
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Telephone | 641-732-3293
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Fax | 641-732-3293
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Provider Business Mailing Address
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Address Line | P.O. BOX 37
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City | OSAGE
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State | IA
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Zip | 50461
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Country | US
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Telephone | 641-732-3293
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Fax | 641-732-3293
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Authorized Official
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Title or Position | DENTIST
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Name | DR. KYLE L. BOBINET
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Credential | DDS
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Telephone | 641-732-3293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 07670
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License Number State | IA
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