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General NPI Number Information
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NPI Number | 1528074457
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Entity Type | Individual
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Provider Name | ERIC K ROBERTSON PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 09/03/2014
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Provider Practice Location Address
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Address Line | 3555 WHIPPLE RD
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City | UNION CITY
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State | CA
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Zip | 94587-1507
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Country | US
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Telephone | 803-257-0070
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Fax |
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Provider Business Mailing Address
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Address Line | 180 2ND ST APT B-218
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City | OAKLAND
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State | CA
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Zip | 94607-4508
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Country | US
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Telephone | 803-257-0070
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Fax |
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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 | 5146
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 41519
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License Number State | CA
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