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General NPI Number Information
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NPI Number | 1932186137
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Entity Type | Organization
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Legal Business Name | MARK A. BOBEK M.D., PA
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 713 CEDARWOOD CT
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City | ORLANDO
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State | FL
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Zip | 32828-8144
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Country | US
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Telephone | 407-657-9368
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Fax | 407-823-3082
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Provider Business Mailing Address
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Address Line | 713 CEDARWOOD CT
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City | ORLANDO
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State | FL
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Zip | 32828-8144
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Country | US
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Telephone | 407-657-9368
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Fax | 407-823-3082
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | DR. MARK A BOBEK
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Credential | M.D.
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Telephone | 407-657-9368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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