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General NPI Number Information
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NPI Number | 1962489195
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Entity Type | Individual
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Provider Name | MARK A BOBEK M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 900 SPRINGWOOD DR
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City | ORLANDO
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State | FL
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Zip | 32839-1318
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Country | US
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Telephone | 407-429-1065
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Fax |
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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 |
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | ME47243
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME47243
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License Number State | FL
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