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General NPI Number Information
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NPI Number | 1427406339
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Entity Type | Organization
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Legal Business Name | ROBINSON BARON MEDICAL CLINIC
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 06/01/2016
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Provider Practice Location Address
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Address Line | 274 W BADILLO STREET
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City | COVINA
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State | CA
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Zip | 91723
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Country | US
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Telephone | 626-915-3476
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Fax | 626-966-1363
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Provider Business Mailing Address
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Address Line | 964 EAST BADILLO STREET SUITE 220
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City | COVINA
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State | CA
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Zip | 91724
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Country | US
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Telephone | 626-915-3476
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Fax | 626-966-1363
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Authorized Official
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Title or Position | OWNER
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Name | ROBINSON VILLAVERDE BARON
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Credential | MEDICAL DOCTOR
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Telephone | 626-915-3476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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