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General NPI Number Information
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NPI Number | 1396950671
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Entity Type | Individual
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Provider Name | ROBERT EUGENE OLDAKER M.D., DPM
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Gender | Male
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 12/13/2010
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Provider Practice Location Address
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Address Line | 3201 KINGS HWY.
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City | BROOKLYN
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State | NY
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Zip | 11234
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Country | US
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Telephone | 718-951-3072
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Fax |
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Provider Business Mailing Address
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Address Line | 127 EAST 10TH STREET #2
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 917-573-5496
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Fax | 212-255-1117
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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 | 233610-1
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License Number State | NY
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