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General NPI Number Information
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NPI Number | 1619981636
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Entity Type | Individual
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Provider Name | ROBERT BERNARD WEBER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 12099 W WASHINGTON BLVD STE 300
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City | LOS ANGELES
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State | CA
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Zip | 90066-2621
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Country | US
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Telephone | 310-558-9777
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Fax | 310-558-9778
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Provider Business Mailing Address
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Address Line | PO BOX 17763
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City | BEVERLY HILLS
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State | CA
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Zip | 90209-3763
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Country | US
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Telephone | 310-558-9777
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Fax | 310-558-9778
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | G30439
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License Number State | CA
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