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General NPI Number Information
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NPI Number | 1518025790
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Entity Type | Organization
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Legal Business Name | ROBERT J COMEAU MD LTD
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 917 SOUTH DECATUR BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89107
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Country | US
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Telephone | 702-222-1998
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Fax | 702-870-9008
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Provider Business Mailing Address
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Address Line | PO BOX 12154
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City | LAS VEGAS
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State | NV
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Zip | 89112
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | ROBERT J COMEAU
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Credential | MD
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Telephone | 702-222-1998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | NV6592
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License Number State | NV
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