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General NPI Number Information
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NPI Number | 1215389721
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Entity Type | Individual
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Provider Name | ROBERT GILBERT O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2016
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 201 S 47TH AVE STE 117
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City | RIDGEFIELD
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State | WA
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Zip | 98642-7780
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Country | US
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Telephone | 360-887-7336
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Fax | 360-300-2952
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Provider Business Mailing Address
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Address Line | 123 S 34TH PL
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City | RIDGEFIELD
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State | WA
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Zip | 98642-5416
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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 |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 60848820
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License Number State | WA
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