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General NPI Number Information
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NPI Number | 1881400059
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Entity Type | Individual
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Provider Name | ROBERT FAUROTE PMHNP
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Gender | Male
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 220 EDMONDS RD
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City | REDWOOD CITY
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State | CA
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Zip | 94062-3813
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Country | US
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Telephone | 914-204-5848
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Fax | 650-369-0706
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Provider Business Mailing Address
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Address Line | 315 YALE ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94134-1632
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Country | US
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Telephone | 914-204-5848
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95031449
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License Number State | CA
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