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General NPI Number Information
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NPI Number | 1538374806
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Entity Type | Individual
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Provider Name | ROBERT JAMES TRAINER DO
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Gender | Male
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1000 NICHOLLS RD
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City | STONY BROOK
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State | NY
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Zip | 11794-0001
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Country | US
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Telephone | 631-444-2975
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Fax |
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Provider Business Mailing Address
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Address Line | 780 BOYLSTON ST
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City | BOSTON
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State | MA
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Zip | 02199-7820
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 239937
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 243218
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0102203682
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License Number State | VA
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