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General NPI Number Information
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NPI Number | 1497184261
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Entity Type | Organization
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Legal Business Name | ROBERT E. NEGER, M.D.
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 11/02/2013
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Provider Practice Location Address
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Address Line | 2100 FOREST AVE STE 110
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City | SAN JOSE
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State | CA
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Zip | 95128-1422
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Country | US
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Telephone | 408-971-1949
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1595
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City | BURLINGAME
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State | CA
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Zip | 94011-1595
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Country | US
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Telephone | 408-971-1949
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Fax | 408-971-1944
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT EDMOND NEGER
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Credential |
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Telephone | 408-971-1949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | A26741
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License Number State |
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