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NPI Code Detail

MEDICARE: MRS. ELAINE ROBBINS RD, CD

MEDICARE:  MRS. ELAINE  ROBBINS  RD, CD
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
1133V00000XRegistered Dietitian37001176AIN

General Provider Information

NPI Number : 1558694380
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELAINE ROBBINS RD, CD
Provider Business Mailing Address
First Line : PO BOX 6036
Second Line :
City : FISHERS
State : IN
Zip : 46038-6036
Country : US
Telephone Number : 317-498-0244
Fax Number :
Provider Business Practice Location Address
First Line : 6923 HILLSDALE CT
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2054
Country : US
Telephone Number : 317-498-0244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2009
Last Update Date : 12/10/2010

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Directions to “ MRS. ELAINE ROBBINS RD, CD” Practice Location

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