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General NPI Number Information
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NPI Number | 1952445116
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Entity Type | Individual
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Provider Name | ROBERT BARBERO DIMARTINO O.D.
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Gender | Male
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 958 MORAGA RD
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City | LAFAYETTE
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State | CA
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Zip | 94549-4525
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Country | US
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Telephone | 925-283-3821
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Fax |
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Provider Business Mailing Address
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Address Line | 86 TARA RD
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City | ORINDA
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State | CA
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Zip | 94563-3128
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Country | US
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Telephone | 925-254-7491
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 7943 TLG
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 7943 TLG
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License Number State | CA
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