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General NPI Number Information
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NPI Number | 1528047982
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Entity Type | Individual
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Provider Name | ROBERT ELLIOT HAIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 220 HOVEY ROAD MITCHELL CENTER FOR POW STUDIES
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City | PENSACOLA
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State | FL
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Zip | 32508-1047
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Country | US
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Telephone | 850-452-2157
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Fax | 850-452-9342
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Provider Business Mailing Address
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Address Line | 10196 BITTERN DR
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City | PENSACOLA
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State | FL
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Zip | 32507-7208
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Country | US
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Telephone | 850-452-2157
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Fax | 850-452-9342
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | ME79857
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License Number State | FL
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