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General NPI Number Information
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NPI Number | 1023288909
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Entity Type | Individual
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Provider Name | ROBERT J WRABLE DMD
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Gender | Male
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 3 PINE CONE DR SUITE 108
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City | PALM COAST
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State | FL
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Zip | 32137-8685
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Country | US
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Telephone | 386-447-6550
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Fax | 386-986-4565
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Provider Business Mailing Address
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Address Line | 3 PINE CONE DR SUITE 108
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City | PALM COAST
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State | FL
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Zip | 32137-8685
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Country | US
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Telephone | 386-447-6550
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Fax | 386-986-4565
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN11733
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License Number State | FL
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