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General NPI Number Information
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NPI Number | 1952440711
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Entity Type | Organization
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Legal Business Name | ROBERT A. NORMAN, D.O., P.A.
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 10422 US HIGHWAY 301 S
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City | RIVERVIEW
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State | FL
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Zip | 33578-5806
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Country | US
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Telephone | 813-374-9984
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Fax | 813-374-9986
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Provider Business Mailing Address
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Address Line | 10820 SHELDON RD
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City | TAMPA
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State | FL
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Zip | 33626-5117
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Country | US
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Telephone | 813-880-7546
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Fax | 813-374-9986
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Authorized Official
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Title or Position | CEO
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Name | DR. ROBERT ANDREW NORMAN
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Credential | DO
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Telephone | 813-880-7546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | OS4442
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License Number State | FL
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