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General NPI Number Information
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NPI Number | 1205950839
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Entity Type | Individual
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Provider Name | ROBERT J BROSI DDS
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 49414 ROAD 426
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City | OAKHURST
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State | CA
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Zip | 93644
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Country | US
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Telephone | 559-683-4694
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Fax | 559-642-6219
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Provider Business Mailing Address
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Address Line | PO BOX 2407
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City | OAKHURST
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State | CA
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Zip | 93644
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Country | US
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Telephone | 559-683-4694
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Fax | 559-642-6219
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 029875
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License Number State | CA
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