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General NPI Number Information
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NPI Number | 1043206295
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Entity Type | Individual
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Provider Name | ROBIN D KOLLMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 07/12/2018
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Provider Practice Location Address
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Address Line | 340 OXFORD ST STE 220
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City | DOVER
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State | OH
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Zip | 44622
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Country | US
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Telephone | 330-666-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 819 N 1ST ST
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City | DENNISON
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State | OH
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Zip | 44621-1003
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Country | US
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Telephone | 740-922-2800
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35048322
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License Number State | OH
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