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General NPI Number Information
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NPI Number | 1831359926
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Entity Type | Individual
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Provider Name | ROBERT PETER CARMIGNANI PHD.
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Gender | Male
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 10/04/2013
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Provider Practice Location Address
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Address Line | 250 BEL MARIN KEYS BLVD STE C3
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City | NOVATO
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State | CA
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Zip | 94949-5708
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Country | US
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Telephone | 415-639-9908
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Fax |
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Provider Business Mailing Address
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Address Line | 17194 FITZPATRICK LN
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City | OCCIDENTAL
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State | CA
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Zip | 95465-9353
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Country | US
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Telephone | 707-874-2524
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY4139
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY4139
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License Number State | CA
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