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General NPI Number Information
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NPI Number | 1699294074
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Entity Type | Individual
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Provider Name | ROBERT ERIC BOOKSTEIN MD
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Gender | Male
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Dates
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Enumeration Date | 09/17/2017
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Last Update Date | 09/17/2017
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Provider Practice Location Address
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Address Line | 8700 BEVERLY BLVD.
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City | LOS ANGELES
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State | CA
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Zip | 90048
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Country | US
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Telephone | 310-423-3277
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Fax |
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Provider Business Mailing Address
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Address Line | 8956 LA JOLLA SCENIC DR N
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City | LA JOLLA
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State | CA
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Zip | 92037-1609
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Country | US
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Telephone | 858-736-6581
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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 | 207ZP0007X
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Taxonomy Name | Molecular Genetic Pathology (Pathology) Physician
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License Number | G56957
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License Number State | CA
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