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General NPI Number Information
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NPI Number | 1548457211
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Entity Type | Organization
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Legal Business Name | ROBERT E NEVELN M.D. INC
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 09/26/2007
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Provider Practice Location Address
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Address Line | 9850 GENESEE AVE STE 870
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City | LA JOLLA
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State | CA
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Zip | 92037-1233
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Country | US
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Telephone | 858-452-7040
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Fax | 858-452-7137
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Provider Business Mailing Address
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Address Line | 9850 GENESEE AVE STE 870
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City | LA JOLLA
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State | CA
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Zip | 92037-1233
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Country | US
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Telephone | 858-452-7040
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Fax | 858-452-7137
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ROBERT EUGENE NEVELN
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Credential | MD
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Telephone | 858-452-7040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G040850
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License Number State | CA
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