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General NPI Number Information
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NPI Number | 1114117140
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Entity Type | Organization
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Legal Business Name | ROBIN MAHABIR, M.D, P.C
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 05/17/2013
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Provider Practice Location Address
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Address Line | 100 OXFORD RD
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City | OXFORD
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State | CT
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Zip | 06478-1990
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Country | US
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Telephone | 203-888-9940
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Fax | 203-888-2499
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Provider Business Mailing Address
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Address Line | 100 OXFORD RD
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City | OXFORD
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State | CT
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Zip | 06478-1990
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Country | US
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Telephone | 203-888-9940
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Fax | 203-888-2499
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. ROBIN MAHABIR
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Credential | M.D.
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Telephone | 203-888-9940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 034002
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License Number State | CT
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