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General NPI Number Information
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NPI Number | 1053536573
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Entity Type | Individual
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Provider Name | ROBIN MARIE WALDRON PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 1904 N CHURCH ST
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City | GREENSBORO
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State | NC
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Zip | 27405-5632
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Country | US
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Telephone | 336-271-4840
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Fax | 336-271-4921
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Provider Business Mailing Address
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Address Line | 6308 OAK FOREST CT
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City | SUMMERFIELD
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State | NC
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Zip | 27358-9511
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Country | US
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Telephone | 336-643-1872
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Fax | 336-271-4921
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2110
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License Number State | NC
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