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General NPI Number Information
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NPI Number | 1063955433
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Entity Type | Organization
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Legal Business Name | DENNIS J. ROBISON MD PLLC
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Dates
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Enumeration Date | 12/02/2016
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Last Update Date | 12/02/2016
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Provider Practice Location Address
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Address Line | 6130 W PARKER RD STE 103
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City | PLANO
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State | TX
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Zip | 75093-7901
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Country | US
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Telephone | 972-403-0801
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Fax |
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Provider Business Mailing Address
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Address Line | 6130 W PARKER RD STE 103
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City | PLANO
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State | TX
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Zip | 75093-7901
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Country | US
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Telephone | 972-403-0801
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | CELECIA TUCKER
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Credential |
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Telephone | 214-651-0772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | Q6695
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License Number State | TX
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