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General NPI Number Information
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NPI Number | 1306966452
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Entity Type | Individual
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Provider Name | ROBERT IRWIN NABER P.T., O.C.S., A.T.C.
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Gender | Male
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15047 LOS GATOS BLVD SUITE 180
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City | LOS GATOS
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State | CA
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Zip | 95032-2054
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Country | US
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Telephone | 408-358-6505
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Fax | 408-358-6404
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Provider Business Mailing Address
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Address Line | 420 LOS GATOS BLVD
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City | LOS GATOS
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State | CA
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Zip | 95032-5541
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Country | US
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Telephone | 408-358-0871
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT12557
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License Number State | CA
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