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General NPI Number Information
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NPI Number | 1851502694
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Entity Type | Organization
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Legal Business Name | ROBERT BRONSTONE INC.
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2500 HOSPITAL DR BLDG 15
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4106
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Country | US
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Telephone | 408-238-8353
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 HOSPITAL DR BLDG 15
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4106
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Country | US
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Telephone | 408-238-8353
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | ROBERT BRONSTONE
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Credential | M.D.
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Telephone | 408-238-8353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | G11602
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License Number State | CA
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