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General NPI Number Information
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NPI Number | 1194896332
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Entity Type | Organization
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Legal Business Name | ROBERT B WEBER MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 12099 W WASHINGTON BLVD STE 300
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City | LOS ANGELES
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State | CA
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Zip | 90066-2621
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Country | US
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Telephone | 310-558-9777
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3134
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-0134
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Country | US
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Telephone | 310-271-0777
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Fax | 310-271-0727
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT B. WEBER
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Credential | M.D.
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Telephone | 310-271-0777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | G30439
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License Number State | CA
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