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General NPI Number Information
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NPI Number | 1003888751
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Entity Type | Individual
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Provider Name | ROBIN LAKS M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 08/03/2020
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Provider Practice Location Address
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Address Line | 2550 E GUADALUPE RD #115
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City | GILBERT
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State | AZ
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Zip | 85234-5114
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Country | US
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Telephone | 480-214-2300
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Fax | 480-214-2301
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Provider Business Mailing Address
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Address Line | 3200 E CAMELBACK RD STE 250
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City | PHOENIX
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State | AZ
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Zip | 85018-2327
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Country | US
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Telephone | 480-214-2300
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Fax | 480-214-2301
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25760
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License Number State | AZ
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