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General NPI Number Information
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NPI Number | 1780777607
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Entity Type | Organization
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Legal Business Name | ROBERT D VERRETTE, DPM,INC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 02/12/2013
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Provider Practice Location Address
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Address Line | 14981 NATIONAL AVE STE 2
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City | LOS GATOS
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State | CA
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Zip | 95032-2600
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Country | US
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Telephone | 408-910-9436
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Fax | 408-272-3903
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Provider Business Mailing Address
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Address Line | 10700 CROTHERS RD
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City | SAN JOSE
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State | CA
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Zip | 95127-1730
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Country | US
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Telephone | 408-910-9436
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Fax | 408-272-3903
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Authorized Official
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Title or Position | CEO
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Name | DR. ROBERT DENNIS VERRETTE
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Credential | DPM
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Telephone | 408-910-9436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E4486
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License Number State | CA
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