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General NPI Number Information
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NPI Number | 1144477670
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Entity Type | Individual
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Provider Name | JENNIFER LEIGH ROBINSON PT
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Gender | Female
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Dates
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Enumeration Date | 08/27/2008
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Last Update Date | 11/19/2019
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Provider Practice Location Address
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Address Line | 341 WINN WAY APT. 203
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City | DECATUR
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State | GA
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Zip | 30030
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Country | US
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Telephone | 404-343-2601
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Fax | 256-386-7718
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Provider Business Mailing Address
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Address Line | 279 1ST AVE
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City | AVONDALE ESTATES
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State | GA
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Zip | 30002
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Country | US
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Telephone | 678-910-8957
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Fax | 256-340-9624
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT4395
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT009634
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH5812
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License Number State | AL
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