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General NPI Number Information
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NPI Number | 1902940406
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Entity Type | Organization
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Legal Business Name | ROBERT A. FOSS, DDS, INC.
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 100 E HUNTINGTON DR STE 211
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City | ALHAMBRA
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State | CA
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Zip | 91801-1022
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Country | US
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Telephone | 626-282-4195
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Fax | 626-282-6770
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Provider Business Mailing Address
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Address Line | 100 E HUNTINGTON DR STE 211
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City | ALHAMBRA
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State | CA
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Zip | 91801-1022
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Country | US
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Telephone | 626-282-4195
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Fax | 626-282-6770
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT ALLAN FOSS
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Credential | DDS
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Telephone | 626-282-4195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 28550
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License Number State | CA
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