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General NPI Number Information
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NPI Number | 1902971245
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Entity Type | Individual
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Provider Name | ROBERT CARLTON FIELDS M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 600 N HIATUS RD STE 101
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-5207
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Country | US
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Telephone | 954-436-8602
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Fax | 954-436-6902
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Provider Business Mailing Address
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Address Line | 600 N HIATUS RD STE 101
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-5207
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Country | US
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Telephone | 954-436-8602
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Fax | 954-436-6902
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME57608
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License Number State | FL
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