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General NPI Number Information
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NPI Number | 1003585688
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Entity Type | Individual
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Provider Name | MARIA DOLORES ROBINSON
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Gender | Female
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 500 W CAMINO ENCANTO
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City | GREEN VALLEY
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State | AZ
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Zip | 85614-6113
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Country | US
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Telephone | 512-220-0167
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Fax |
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Provider Business Mailing Address
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Address Line | 535 S PASEO LAZO CIR
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City | GREEN VALLEY
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State | AZ
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Zip | 85614-2325
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Country | US
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Telephone | 623-703-6942
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 06772
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License Number State | AZ
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