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General NPI Number Information
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NPI Number | 1679968960
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Entity Type | Individual
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Provider Name | ROBERT ANDREW HULL MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 3551 ROGER BROOKE DRIVE ATTN: MCHE-ZDM-C CARDIOLOGY
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City | JBSA FORT SAM HOUSTON
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State | TX
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Zip | 78234
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Country | US
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Telephone | 210-916-0935
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Fax | 210-916-3051
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Provider Business Mailing Address
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Address Line | 3551 ROGER BROOKE DR
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City | JBSA FT SAM HOUSTON
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State | TX
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Zip | 78234-4504
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Country | US
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Telephone |
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101261450
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0101261450
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 321684
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | T6260
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License Number State | TX
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