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General NPI Number Information
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NPI Number | 1023352143
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Entity Type | Individual
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Provider Name | ROBERT TORIN JAFFE M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 3000 CLEVELAND AVE STE 210
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City | SANTA ROSA
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State | CA
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Zip | 95403-2117
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Country | US
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Telephone | 707-820-1035
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Fax |
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Provider Business Mailing Address
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Address Line | 8 VOSS PARK CIR
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City | SANTA ROSA
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State | CA
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Zip | 95403-0000
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Country | US
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Telephone | 707-820-1035
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Fax | 888-237-5233
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G86528
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License Number State | CA
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