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General NPI Number Information
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NPI Number | 1760467492
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Entity Type | Individual
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Provider Name | ROBERT STEVEN SLACK MD
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Gender | Male
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | LANDSTUHL REGIONAL MEDICAL CENTER ATTN MCEUL DCCS (CREDENTIALS), CMR 402
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City | APO
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State | AE
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Zip | 09180
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Country | US
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Telephone | 011496371868839
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Fax |
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Provider Business Mailing Address
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Address Line | CMR 427 BOX 2278
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City | APO
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State | AE
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Zip | 09630
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Country | US
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Telephone | 393351201124
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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 | A52230
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | A52230
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A52230
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License Number State | CA
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