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General NPI Number Information
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NPI Number | 1770898702
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Entity Type | Individual
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Provider Name | ROBERT N SHAROBIEM D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/14/2010
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Last Update Date | 09/25/2019
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Provider Practice Location Address
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Address Line | 72333 HIGHWAY 111 STE B
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City | PALM DESERT
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State | CA
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Zip | 92260-2790
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Country | US
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Telephone | 951-237-7245
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Fax |
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Provider Business Mailing Address
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Address Line | 31056 FLYING CLOUD DR
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-2714
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Country | US
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Telephone | 951-237-7245
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 055799
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS040134
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DDS102681
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License Number State | CA
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