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General NPI Number Information
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NPI Number | 1972754703
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Entity Type | Organization
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Legal Business Name | RHODA H COBIN MD PA
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 75 N MAPLE AVE STE 202
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3262
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Country | US
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Telephone | 201-444-7465
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Fax | 201-444-4490
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Provider Business Mailing Address
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Address Line | 75 N MAPLE AVE STE 202
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3262
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Country | US
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Telephone | 201-444-7465
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Fax | 201-444-4490
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Authorized Official
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Title or Position | MD
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Name | DR. RHODA H COBIN
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Credential | MD
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Telephone | 201-444-7465
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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 | 25MA02870000
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License Number State | NJ
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