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General NPI Number Information
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NPI Number | 1194796151
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Entity Type | Individual
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Provider Name | ROBERT R TREUHERZ MD
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Gender | Male
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 23739 LAKE DRIVE STE 101
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City | CRESTLINE
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State | CA
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Zip | 92325
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Country | US
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Telephone | 909-273-8779
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Fax | 888-507-7087
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Provider Business Mailing Address
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Address Line | PO BOX 117
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City | CEDAR GLEN
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State | CA
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Zip | 92321-0117
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Country | US
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Telephone | 909-273-8779
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Fax | 909-744-9940
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | ME61470
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME61470
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | A44467
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License Number State | CA
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