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NPI 1568497881

NPI 1568497881 : ROBERT S GOLDBLATT MD : RYE BROOK, NY

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General NPI Number Information
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    NPI Number           |    1568497881
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT S GOLDBLATT MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/12/2006
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    Last Update Date     |    02/11/2008
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Provider Practice Location Address
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    Address Line         |    18 RYE RIDGE PLAZA 
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    City                 |    RYE BROOK
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    State                |    NY
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    Zip                  |    10573
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    Country              |    US
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    Telephone            |    914-253-9252
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    Fax                  |    914-253-9251
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Provider Business Mailing Address
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    Address Line         |    18 RYE RIDGE PLAZA 
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    City                 |    RYE BROOK
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    State                |    NY
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    Zip                  |    10573
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    Country              |    US
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    Telephone            |    914-253-9252
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    Fax                  |    914-253-9251
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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        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    125876
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    018598
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    License Number State |    CT
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Taxonomy #3
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    Taxonomy Code        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    ME26108
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    License Number State |    FL
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