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General NPI Number Information
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NPI Number | 1831360288
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Entity Type | Organization
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Legal Business Name | ROBERT B. SELTZER, M.D., INC.
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 05/28/2008
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Provider Practice Location Address
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Address Line | 960 E GREEN ST SUITE 108
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City | PASADENA
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State | CA
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Zip | 91106-2401
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Country | US
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Telephone | 626-449-3830
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Fax | 626-584-6532
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Provider Business Mailing Address
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Address Line | 960 E GREEN ST SUITE 108
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City | PASADENA
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State | CA
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Zip | 91106-2401
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Country | US
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Telephone | 626-449-3830
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Fax | 626-584-6532
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Authorized Official
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Title or Position | BUSINESS OFFICE SUPERVISOR
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Name | MARILU RAMIREZ
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Credential |
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Telephone | 626-449-3830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | G30649
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License Number State | CA
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