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General NPI Number Information
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NPI Number | 1174669154
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Entity Type | Individual
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Provider Name | JANICE MARIE ROBINSON PT
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 HOAG DRIVE HOAG MEMORIAL HOSPITAL
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City | NEWPORT BEACH
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State | CA
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Zip | 92658
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Country | US
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Telephone | 949-764-5645
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Fax | 949-764-5648
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Provider Business Mailing Address
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Address Line | 15216 VICITY CIRCLE
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City | IRVINE
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State | CA
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Zip | 92604-3154
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Country | US
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Telephone | 949-559-8162
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT7908
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License Number State | CA
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