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NPI 1013980960

NPI 1013980960 : ROBERT NEWTON DOBBINS III RPH : JACKSONVILLE, FL

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General NPI Number Information
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    NPI Number           |    1013980960
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT NEWTON DOBBINS III RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/10/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2080 CHILD ST 
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32214-5005
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    Country              |    US
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    Telephone            |    904-542-2537
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    Fax                  |    904-542-8348
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Provider Business Mailing Address
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    Address Line         |    1510 POKEBERRY WAY 
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    City                 |    ORANGE PARK
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    State                |    FL
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    Zip                  |    32003-7056
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    Country              |    US
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    Telephone            |    904-542-2537
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    Fax                  |    904-542-8348
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    6365
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    License Number State |    SC
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