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General NPI Number Information
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NPI Number | 1033818752
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Entity Type | Individual
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Provider Name | ROBERT URBAN PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 11051 STATE ROAD 101
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City | BROOKVILLE
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State | IN
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Zip | 47012-8836
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Country | US
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Telephone | 423-176-5647
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 REID PARKWAY MEDICAL STAFF SERVICES
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City | RICHMOND
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State | IN
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Zip | 47374
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Country | US
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Telephone | 765-983-3127
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 05013803A
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License Number State | IN
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