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General NPI Number Information
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NPI Number | 1518295013
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Entity Type | Organization
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Legal Business Name | ROBERT J FAUER M.D. P.C
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Dates
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Enumeration Date | 11/23/2009
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Last Update Date | 11/23/2009
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Provider Practice Location Address
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Address Line | 4045 E BELL RD SUITE 105
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City | PHOENIX
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State | AZ
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Zip | 85032-2236
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Country | US
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Telephone | 602-923-6666
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Fax | 602-923-7676
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Provider Business Mailing Address
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Address Line | 4045 E BELL RD SUITE 105
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City | PHOENIX
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State | AZ
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Zip | 85032-2236
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Country | US
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Telephone | 602-923-6666
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Fax | 602-923-7676
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT JAY FAUER
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Credential | M.D.
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Telephone | 602-923-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | AZ14204
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License Number State | AZ
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