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General NPI Number Information
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NPI Number | 1538198114
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Entity Type | Individual
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Provider Name | ROBERT J TREMBLAY NP
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 911 SUNSET DR
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City | HOLLISTER
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State | CA
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Zip | 95023-5602
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Country | US
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Telephone | 831-636-2640
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Fax |
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Provider Business Mailing Address
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Address Line | 17595 VIERRA CANYON RD #230
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City | SALINAS
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State | CA
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Zip | 93907-3312
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Country | US
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Telephone | 209-827-4407
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP5174
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License Number State | CA
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