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General NPI Number Information
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NPI Number | 1750268439
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Entity Type | Individual
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Provider Name | ROBERT PIWOWARSKI
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Gender |
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Dates
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Enumeration Date | 08/16/2025
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Last Update Date | 08/16/2025
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Provider Practice Location Address
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Address Line | 1249 SCOTT ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-4008
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Country | US
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Telephone | 415-922-9104
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Fax | 415-922-9104
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Provider Business Mailing Address
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Address Line | PO BOX 1215
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City | PACIFICA
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State | CA
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Zip | 94044-6215
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Country | US
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Telephone | 510-928-5447
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State | CA
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