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General NPI Number Information
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NPI Number | 1104130855
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Entity Type | Organization
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Legal Business Name | ROBERT J BIELEN M D INC
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 08/04/2010
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Provider Practice Location Address
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Address Line | 19 STONE PINE DR
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City | NEWPORT COAST
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State | CA
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Zip | 92657-1555
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Country | US
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Telephone | 949-219-9979
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Fax |
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Provider Business Mailing Address
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Address Line | 19 STONE PINE DR
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City | NEWPORT COAST
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State | CA
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Zip | 92657-1555
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT BIELEN
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Credential | M D
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Telephone | 949-219-9979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | C35222
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License Number State | CA
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