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General NPI Number Information
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NPI Number | 1104346493
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Entity Type | Individual
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Provider Name | MR. JOSEPH GARY ROBINSON
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Gender | Male
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4506 POLARIS DR
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City | CHAPELHILL
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State | TN
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Zip | 37034-2461
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Country | US
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Telephone | 615-804-4813
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Fax |
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Provider Business Mailing Address
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Address Line | 4506 POLARIS DR
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City | CHAPEL HILL
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State | TN
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Zip | 37034-2461
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Country | US
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Telephone | 615-804-4813
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State | TN
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