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General NPI Number Information
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NPI Number | 1760431993
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Entity Type | Organization
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Legal Business Name | ROBERT J BLOOMBERG MD PC
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Dates
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Enumeration Date | 05/06/2006
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 6301 S MCCLINTOCK DR SUITE 201
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City | TEMPE
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State | AZ
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Zip | 85283-3392
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Country | US
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Telephone | 480-838-3100
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Fax | 480-838-3902
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Provider Business Mailing Address
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Address Line | 6301 S MCCLINTOCK DR SUITE 201
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City | TEMPE
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State | AZ
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Zip | 85283-3392
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Country | US
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Telephone | 480-838-3100
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Fax | 480-838-3902
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT J BLOOMBERG
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Credential | MD
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Telephone | 480-838-3100
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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 | 11959
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License Number State | AZ
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