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General NPI Number Information
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NPI Number | 1093084055
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Entity Type | Individual
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Provider Name | ROBERT SHUBERT B.S.
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Gender | Male
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Dates
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Enumeration Date | 12/21/2011
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Last Update Date | 12/21/2011
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Provider Practice Location Address
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Address Line | 905 CAPE CORAL PKWY E
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City | CAPE CORAL
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State | FL
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Zip | 33904-9015
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Country | US
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Telephone | 239-945-1076
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Fax | 239-945-0422
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Provider Business Mailing Address
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Address Line | 9560 VILLAGE VIEW BLVD
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-8899
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Country | US
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Telephone | 239-992-1230
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Fax | 239-992-0471
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS40332
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License Number State | FL
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