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General NPI Number Information
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NPI Number | 1437453735
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Entity Type | Organization
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Legal Business Name | ROBERT C. PACE MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 12/29/2010
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Last Update Date | 08/12/2015
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Provider Practice Location Address
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Address Line | 521 E ELDER ST #105
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City | FALLBROOK
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State | CA
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Zip | 92028-3081
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Country | US
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Telephone | 760-728-5851
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Fax | 760-728-0703
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Provider Business Mailing Address
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Address Line | 521 E ELDER ST #105
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City | FALLBROOK
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State | CA
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Zip | 92028-3081
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Country | US
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Telephone | 760-728-5851
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Fax | 760-728-0703
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT CLAYTON PACE
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Credential | M.D.
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Telephone | 760-728-5851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G21246
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License Number State | CA
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