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General NPI Number Information
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NPI Number | 1699174680
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Entity Type | Individual
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Provider Name | ROBERT THEISS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2014
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 2649 SCHOENERSVILLE RD STE 201
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City | BETHLEHEM
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State | PA
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Zip | 18017-7316
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Country | US
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Telephone | 484-884-8110
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 STANTONSBURG RD
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City | GREENVILLE
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State | NC
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Zip | 27834-2818
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Country | US
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Telephone | 248-847-4100
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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 | 4301105628
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2018-00669
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD484627
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License Number State | PA
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