MEDICARE: ROBERT G FABBRI II

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1114279825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT G FABBRI II

Provider Business Mailing Address
First Line	:	10290 MARION MORRISON CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-4229
Country	:	US
Telephone Number	:	702-292-9783
Fax Number	:

Provider Business Practice Location Address
First Line	:	10290 MARION MORRISON CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-4229
Country	:	US
Telephone Number	:	702-292-9783
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2012
Last Update Date	:	06/02/2023

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