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General NPI Number Information
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NPI Number | 1073755260
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Entity Type | Organization
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Legal Business Name | DR. RANSFORD ROBINSON LLC
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Dates
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Enumeration Date | 04/02/2009
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Last Update Date | 04/02/2009
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Provider Practice Location Address
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Address Line | 515 CHANNING RD
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City | LAKELAND
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State | FL
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Zip | 33805-3703
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Country | US
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Telephone | 863-816-5889
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Fax | 863-937-8008
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Provider Business Mailing Address
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Address Line | 515 CHANNING RD
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City | LAKELAND
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State | FL
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Zip | 33805-3703
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Country | US
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Telephone | 863-816-5889
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Fax | 863-937-8008
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Authorized Official
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Title or Position | OWNER
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Name | RANSFORD ROBINSON
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Credential | DC
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Telephone | 863-816-5889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH9525
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License Number State | FL
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