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General NPI Number Information
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NPI Number | 1154798320
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Entity Type | Individual
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Provider Name | JAMES MICHAEL ROBISON DMD
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Gender | Male
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 5800 STANFORD RANCH RD STE 900
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City | ROCKLIN
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State | CA
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Zip | 95765-4387
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Country | US
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Telephone | 916-663-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 4329 HYDRA CIR
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City | ROSEVILLE
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State | CA
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Zip | 95747-8696
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Country | US
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Telephone | 916-342-9991
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Fax | 916-663-5558
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D-4678
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 103772
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License Number State | CA
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