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General NPI Number Information
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NPI Number | 1265929582
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Entity Type | Individual
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Provider Name | ROBERT WILLIAM LANDON
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Gender | Male
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Dates
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Enumeration Date | 04/23/2018
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 1100 LAS TABLAS RD
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City | TEMPLETON
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State | CA
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Zip | 93465-9704
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Country | US
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Telephone | 805-975-7298
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Fax |
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Provider Business Mailing Address
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Address Line | 7395 EL CAMINO REAL # 376
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City | ATASCADERO
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State | CA
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Zip | 93422-4628
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Country | US
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Telephone | 805-975-7298
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A163630
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License Number State | CA
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