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General NPI Number Information
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NPI Number | 1073640793
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Entity Type | Organization
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Legal Business Name | STANLEY J ROBISON DDS MS PA
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 03/14/2016
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Provider Practice Location Address
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Address Line | 2090 OLD FARM DR SUITE F
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City | FREDERICK
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State | MD
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Zip | 21702-5400
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Country | US
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Telephone | 301-662-0181
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Fax |
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Provider Business Mailing Address
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Address Line | 2090 OLD FARM DR SUITE F
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City | FREDERICK
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State | MD
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Zip | 21702-5400
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Country | US
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Telephone | 301-662-0181
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, ORTHODONTIST
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Name | DR. STANLEY JAY ROBISON
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Credential | DDS, MS
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Telephone | 301-662-0181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 10924
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License Number State | MD
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