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General NPI Number Information
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NPI Number | 1609878933
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Entity Type | Individual
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Provider Name | ROBERT DAVID TEITELBAUM D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 4763 TAMIAMI TRL N
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City | NAPLES
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State | FL
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Zip | 34103-3006
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Country | US
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Telephone | 239-263-4595
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Fax | 239-263-8851
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Provider Business Mailing Address
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Address Line | 4763 TAMIAMI TRL N
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City | NAPLES
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State | FL
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Zip | 34103-3006
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Country | US
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Telephone | 239-263-4595
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Fax | 239-263-8851
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO 1400
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License Number State | FL
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