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General NPI Number Information
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NPI Number | 1235532789
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Entity Type | Organization
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Legal Business Name | ROBERT M. BARONE MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/29/2014
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Last Update Date | 09/29/2014
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Provider Practice Location Address
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Address Line | 3075 HEALTH CENTER DR SUITE 102
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City | SAN DIEGO
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State | CA
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Zip | 92123-2773
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Country | US
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Telephone | 858-637-7888
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Fax | 858-367-7883
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Provider Business Mailing Address
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Address Line | 3075 HEALTH CENTER DR SUITE 102
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City | SAN DIEGO
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State | CA
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Zip | 92123-2773
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Country | US
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Telephone | 858-637-7888
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Fax | 858-367-7883
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Authorized Official
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Title or Position | OFFICE MANGER
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Name | MRS. YVETTE ROBINSON
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Credential |
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Telephone | 858-637-7882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G22669
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License Number State | CA
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