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General NPI Number Information
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NPI Number | 1972702835
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Entity Type | Organization
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Legal Business Name | VICTOR L. COBOS, M.D. FACS PA
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 1300 FULTON ST SUITE 203
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City | DENTON
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State | TX
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Zip | 76201-2688
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Country | US
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Telephone | 940-382-2646
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 FULTON ST SUITE 203
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City | DENTON
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State | TX
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Zip | 76201-2688
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Country | US
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Telephone | 940-382-2646
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VICTOR L COBOS
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Credential | M.D.
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Telephone | 940-382-2646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | K8089
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License Number State | TX
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