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NPI Code Detail

MEDICARE: DIANE KOBUNSKI

MEDICARE:   DIANE  KOBUNSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172A00000XDriver

General Provider Information

NPI Number : 1326642059
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE KOBUNSKI
Provider Business Mailing Address
First Line : 13082 EAGLE CHASE
Second Line :
City : NORTH ROYALTON
State : OH
Zip : 44133-4151
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13082 EAGLE CHASE
Second Line :
City : NORTH ROYALTON
State : OH
Zip : 44133-4151
Country : US
Telephone Number : 440-213-9032
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2020
Last Update Date : 11/23/2020

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Directions to “ DIANE KOBUNSKI ” Practice Location

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