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General NPI Number Information
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NPI Number | 1336120377
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Entity Type | Individual
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Provider Name | ROBERT L VANDERLIN MD
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Gender | Male
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 02/10/2011
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Provider Practice Location Address
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Address Line | 51 PERFORMANCE DR
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City | WEYMOUTH
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State | MA
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Zip | 02189-3104
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Country | US
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Telephone | 781-682-8000
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Fax | 781-335-1412
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Provider Business Mailing Address
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Address Line | 75 WASHINGTON ST
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City | NORWELL
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State | MA
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Zip | 02061-9147
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Country | US
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Telephone | 781-878-5200
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Fax | 781-871-7418
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 49353
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License Number State | MA
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