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General NPI Number Information
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NPI Number | 1477552941
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Entity Type | Individual
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Provider Name | ROBERTO LIMGENCO BARRETTO M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 1201 W LA VETA AVE STE. 311
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City | ORANGE
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State | CA
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Zip | 92868-4203
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Country | US
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Telephone | 714-633-4020
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Fax | 714-633-4846
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Provider Business Mailing Address
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Address Line | 2412 N HIGHWOOD RD
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City | ORANGE
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State | CA
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Zip | 92867-6479
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Country | US
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Telephone | 714-633-4020
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Fax | 714-633-4846
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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 | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number | A81316
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | A81316
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License Number State | CA
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