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General NPI Number Information
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NPI Number | 1568483154
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Entity Type | Organization
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Legal Business Name | ROBERT M. APPLEBAUM, M.D.
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 436 N BEDFORD DR STE. 203
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4310
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Country | US
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Telephone | 310-550-7747
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Fax |
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Provider Business Mailing Address
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Address Line | 11999 SAN VICENTE BLVD STE. 440
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City | LOS ANGELES
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State | CA
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Zip | 90049-5131
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Country | US
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Telephone | 310-440-3131
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT M. APPLEBAUM
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Credential | M.D.
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Telephone | 310-440-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | G59366
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License Number State | CA
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