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General NPI Number Information
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NPI Number | 1891962197
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Entity Type | Individual
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Provider Name | LEAH KATHLEEN COBB MD
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Gender | Female
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 2619 W FAIRVIEW AVE
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City | BOISE
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State | ID
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Zip | 83702-6722
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Country | US
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Telephone | 208-706-2663
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Fax | 208-489-4300
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Provider Business Mailing Address
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Address Line | PO BOX 6502
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City | SAN JUAN
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State | PR
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Zip | 00914-6502
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Country | US
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Telephone | 787-222-5262
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Fax | 772-919-8543
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 036162251
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License Number State | IL
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