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General NPI Number Information
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NPI Number | 1932190121
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Entity Type | Individual
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Provider Name | ROBERT G FANTE MD
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Gender | Male
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 4500 E CHERRY CREEK SOUTH DR
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City | DENVER
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State | CO
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Zip | 80246-1518
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Country | US
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Telephone | 303-839-1616
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Fax | 303-839-1991
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Provider Business Mailing Address
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Address Line | 4500 E CHERRY CREEK SOUTH DR
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City | DENVER
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State | CO
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Zip | 80246-1518
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Country | US
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Telephone | 303-839-1616
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Fax | 303-839-1991
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 04-27845
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 6502A
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number | 37140
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number | 4301067317
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number | 04-27845
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License Number State | KS
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Taxonomy #6
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Taxonomy Code | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number | 18881
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License Number State | NE
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Taxonomy #7
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Taxonomy Code | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number | 156104
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License Number State | MA
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Taxonomy #8
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Taxonomy Code | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number | 6502A
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License Number State | WY
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Taxonomy #9
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 4301067317
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License Number State | MI
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Taxonomy #10
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 37140
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License Number State | CO
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Taxonomy #11
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 18881
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License Number State | NE
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Taxonomy #12
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 156104
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License Number State | MA
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Taxonomy #13
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Taxonomy Code | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number | 37140
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License Number State | CO
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