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General NPI Number Information
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NPI Number | 1497924849
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Entity Type | Organization
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Legal Business Name | ROBERT HIRSCHBERG D.O. P.C.
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 520 FRANKLIN AVE SUITE 212
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City | GARDEN CITY
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State | NY
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Zip | 11530-5801
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Country | US
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Telephone | 516-873-6269
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Fax | 516-873-6306
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Provider Business Mailing Address
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Address Line | 520 FRANKLIN AVE SUITE 212
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City | GARDEN CITY
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State | NY
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Zip | 11530-5801
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Country | US
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Telephone | 516-873-6269
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Fax | 516-873-6306
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT HIRSCHBERG
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Credential | D.O.
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Telephone | 516-873-6269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 204288
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License Number State | NY
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