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General NPI Number Information
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NPI Number | 1073634648
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Entity Type | Individual
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Provider Name | ROBERT JOHN DORSETT L. AC., DIPLO. ACUP.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2245 SANTA CLARA AVE STE 218
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City | ALAMEDA
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State | CA
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Zip | 94501-4443
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Country | US
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Telephone | 510-817-8771
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Fax | 510-814-8772
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Provider Business Mailing Address
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Address Line | 2251 CLINTON AVE APT E
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City | ALAMEDA
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State | CA
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Zip | 94501-4965
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Country | US
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Telephone | 510-522-5263
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Fax | 510-522-5263
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC3275
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License Number State | CA
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