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General NPI Number Information
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NPI Number | 1518006451
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Entity Type | Individual
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Provider Name | ROBERT DONALDSON PT OCS
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 04/21/2009
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Provider Practice Location Address
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Address Line | 654 CREEKMONT CT
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City | VENTURA
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State | CA
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Zip | 93003-1400
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Country | US
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Telephone | 805-644-9091
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Fax | 805-644-9096
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Provider Business Mailing Address
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Address Line | 654 CREEKMONT CT
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City | VENTURA
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State | CA
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Zip | 93003-1400
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Country | US
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Telephone | 805-644-9091
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Fax | 805-644-9096
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT8117
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC24339
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License Number State | CA
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