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General NPI Number Information
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NPI Number | 1528957578
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Entity Type | Individual
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Provider Name | ROBERT JOHN AMBLER
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Gender | Male
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 17332 11 MILE RD
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City | BATTLE CREEK
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State | MI
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Zip | 49014-8943
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Country | US
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Telephone | 269-446-0333
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Fax |
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Provider Business Mailing Address
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Address Line | 12553 COVE HOLLOW DR
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City | PAPILLION
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State | NE
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Zip | 68046-4491
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Country | US
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Telephone | 269-986-2050
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AS130410907
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License Number State | MI
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