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General NPI Number Information
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NPI Number | 1932535499
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Entity Type | Individual
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Provider Name | MICHAEL JOHN COBILL PA
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Gender | Male
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Dates
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Enumeration Date | 09/16/2013
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 2040 BOSTON RD STE 5
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City | WILBRAHAM
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State | MA
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Zip | 01095-1380
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Country | US
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Telephone | 413-599-3800
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Fax | 413-279-1900
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Provider Business Mailing Address
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Address Line | 5 SHREWSBURY ST STE D
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City | HOLDEN
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State | MA
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Zip | 01520-1960
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Country | US
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Telephone | 508-829-3800
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Fax | 508-829-3802
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | MA
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