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General NPI Number Information
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NPI Number | 1134540891
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Entity Type | Individual
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Provider Name | CHARITY KARILYN ROBINSON O.D.
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Gender | Female
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Dates
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Enumeration Date | 12/26/2013
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 2251 E STATE HIGHWAY 54
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City | LINTON
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State | IN
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Zip | 47441-9498
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Country | US
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Telephone | 812-847-7880
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Fax | 812-847-8104
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Provider Business Mailing Address
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Address Line | 8777 N OLD STATE ROAD 37
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City | BLOOMINGTON
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State | IN
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Zip | 47408-9246
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Country | US
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Telephone | 812-727-0534
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Fax | 812-727-3452
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18003823
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License Number State | IN
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