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General NPI Number Information
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NPI Number | 1295838290
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Entity Type | Individual
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Provider Name | ROBERT PETER ORISTAGLIO DO
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Gender | Male
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 401 NORTH 17TH STREET SUITE 212
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City | ALLENTOWN
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State | PA
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Zip | 18104
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Country | US
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Telephone | 610-432-8488
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Fax | 610-258-2140
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Provider Business Mailing Address
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Address Line | 50 SOUTH 18TH STREET
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City | EASTON
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State | PA
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Zip | 18042
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Country | US
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Telephone | 610-258-3608
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Fax | 610-258-2140
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0S003788L
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License Number State | PA
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