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General NPI Number Information
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NPI Number | 1063600641
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Entity Type | Organization
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Legal Business Name | ROBERT J. ANDERSON MD PA
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 600 UNIVERSITY BLVD STE 101
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City | JUPITER
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State | FL
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Zip | 33458-2778
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Country | US
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Telephone | 561-776-7676
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Fax | 561-776-7585
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Provider Business Mailing Address
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Address Line | 600 UNIVERSITY BLVD STE 101
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City | JUPITER
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State | FL
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Zip | 33458-2778
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Country | US
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Telephone | 561-776-7676
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Fax | 561-776-7585
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT J ANDERSON
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Credential | M.D.
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Telephone | 561-776-7676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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